Provider Demographics
NPI:1447070677
Name:DARLEY, TARYN NICOLE (MSW)
Entity type:Individual
Prefix:
First Name:TARYN
Middle Name:NICOLE
Last Name:DARLEY
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5050 MYAKKA VALLEY TRL
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34241-9750
Mailing Address - Country:US
Mailing Address - Phone:941-799-1449
Mailing Address - Fax:
Practice Address - Street 1:2831 RINGLING BLVD STE 206C
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34237-5351
Practice Address - Country:US
Practice Address - Phone:941-799-1449
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-14
Last Update Date:2024-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLISW19875101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health