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).
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 |
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 |
Street Address |
5838 SIX FORKS RD SUITE 200 |
City | RALEIGH |
State | NC |
Zip Code | 27609-3885 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 27609 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
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 |
Find all providers in RALEIGH |
Please comment or provide details below to improve the information on MRS. TARA BETH LUELLEN.
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.