MRS. TARA BETH LUELLEN


Address: 5838 Six Forks Rd, Suite 200, Raleigh, NC 27609-3885
Phone: 9197859944

MRS. TARA BETH LUELLEN (NPI# 1659678647) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1659678647
Entity Type Individual
Full Name MRS. TARA BETH LUELLEN
Other Name MISS TARA BETH POOL
Credential MA, LPA
Practice Address 5838 Six Forks Rd
Suite 200
Raleigh
NC 27609-3885
Mailing Address 617 Ancient Oaks Dr
Holly Springs
NC 27540-7986
Practice Telephone 9197859944
Practice Fax Number 9197859992
Mailing Telephone 5738887598
Mailing Fax Number 9193461011
Enumeration Date 2011-02-28
Last Update Date 2012-04-03
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101YM0800X Counselor
Specialization: Mental Health
0935 KY Behavioral Health & Social Service Providers
Y 103TC0700X Psychologist
Specialization: Clinical
4097 NC Behavioral Health & Social Service Providers

Office Location

Street Address 5838 SIX FORKS RD
SUITE 200
City RALEIGH
State NC
Zip Code 27609-3885

Providers in the same location

NPI Name Taxonomy Address Enumeration
1477523082 Robert Lacin Neurological Surgery 5838 Six Forks Rd, Suite 100, Raleigh, NC 27609-3885 2006-01-25
1073039848 Ryan Kellan Millar Physician Assistant 5838 Six Forks Rd, Raleigh, NC 27609-3885 2017-08-14
1063958015 William Ashby Physician Assistant 5838 Six Forks Rd, Suite 100, Raleigh, NC 27609-3885 2017-01-15
1548711534 Ryan Graves Specialist/Technologist 5838 Six Forks Rd, Suite 300, Raleigh, NC 27609-3885 2016-10-14
1255721676 Patricia Marie Nelson Physician Assistant 5838 Six Forks Rd, Suite #100, Raleigh, NC 27609-3885 2015-01-24
1508274689 Noelle E. Ferree Physical Therapist 5838 Six Forks Rd, Suite 300, Raleigh, NC 27609-3885 2014-08-01
1003151820 Charlotte Rowe Spangler Physician Assistant 5838 Six Forks Rd, Suite 100, Raleigh, NC 27609-3885 2012-12-05
1366730533 Amanda Kathleen Allen Physical Therapist 5838 Six Forks Rd, Raleigh, NC 27609-3885 2011-07-21
1477862969 Lars Benjamin Gardner Neurological Surgery 5838 Six Forks Rd, Suite 100, Raleigh, NC 27609-3885 2010-09-30
1528373545 Christy Michelle Hall Nurse Practitioner 5838 Six Forks Rd, Suite 100, Raleigh, NC 27609-3885 2010-08-13
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1184235582 Choice Service Solutions LLC In Home Supportive Care 5300 Six Fox Rd Siite205, Raleigh, NC 27609 2020-08-11
1003426073 Rosana Oba -rovira Registered Nurse 5300 Six Fox Road, Suite 205, Raleigh, NC 27609 2020-08-05
1821612706 Helen Alexandra Bonner Physical Medicine & Rehabilitation Hey Clinic Pa, 3320 Wake Forest Road Ste 450, Raleigh, NC 27609 2020-06-05
1215423579 Appiah Nana Larbi Social Worker Easter Seals Ucp 4000 Wake Forest Rd Ste 200, Raleigh, NC 27609 2018-07-10
1215423777 Broadway Home Care LLC In Home Supportive Care 107 Windel Dr Ste 105, Raleigh, NC 27609 2018-07-09
1275027948 Lacey Allene Cottingham Social Worker 312 W Millbrook Rd Ste 129, Raleigh, NC 27609 2018-06-18
1447748819 Integrated Dermatology of North Raleigh, Pllc Dermatology 3809 Computer Dr Ste 200, Raleigh, NC 27609 2018-05-01
1902325418 Naomi Christine Askew Nurse Practitioner 3400 Wake Forest Drive, Bldg 9, Bldg #9, 4th Floor, Raleigh, NC 27609 2017-09-15
1962929679 Alexia Montague Social Worker 1306 Paddock Drive Suite E-100, Raleigh, NC 27609 2017-08-23
1730602236 Chantel Washington-mbuthia Counselor 1100 Logger Ct. Ste C100, Heartfelt Alternative Inc, Raleigh, NC 27609 2017-07-18
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1306453832 Hsiao-wen Wang Psychologist 8450 Falls of Neuse Rd Ste 200, Raleigh, NC 27615-3549 2020-09-29
1104447242 Arbor Behavioral Health Psychologist 1100 Navaho Dr Ste 123, Raleigh, NC 27609-7359 2020-04-29
1538714175 Rebecca Eileen Barnette Psychologist 8374 Six Forks Rd Ste 201, Raleigh, NC 27615-5096 2019-08-08
1851857965 Jennifer Funaro Psychologist 8951 Harvest Oaks Dr, Raleigh, NC 27615-2113 2019-02-13
1518433010 Sarah Filone Psychologist 3040 Hammond Business Pl # 105, Raleigh, NC 27603-3666 2018-10-23
1700387545 Jamie Grisham Psychologist 333 Fayetteville St Ste 1225, Raleigh, NC 27601-1742 2018-02-27
1972002004 Ethan R. Levine, Ph.d. Psychologist 11937 Straight A Way Ln, Raleigh, NC 27613-7105 2018-02-05
1467964379 Tiffany Hopkins Psychologist 361 The Greens Cir Apt 244, Raleigh, NC 27606-5259 2017-11-01
1588199764 Fitzpatrick Psychological Services Psychologist 111 Windel Drive, Suite 213, Raleigh, NC 27609 2017-04-26
1083155709 Bennie Wheat Psychologist 3717 National Dr Ste 208, Raleigh, NC 27612-4877 2017-03-14
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Competitor

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City RALEIGH
Zip Code 27609

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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