Provider Demographics
NPI:1639405244
Name:KAPINOS, TARA M (LMHC)
Entity type:Individual
Prefix:
First Name:TARA
Middle Name:M
Last Name:KAPINOS
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:373 W ALFRED ST
Mailing Address - Street 2:
Mailing Address - City:TAVARES
Mailing Address - State:FL
Mailing Address - Zip Code:32778-3270
Mailing Address - Country:US
Mailing Address - Phone:352-343-3347
Mailing Address - Fax:352-343-3347
Practice Address - Street 1:373 W ALFRED ST
Practice Address - Street 2:
Practice Address - City:TAVARES
Practice Address - State:FL
Practice Address - Zip Code:32778-3270
Practice Address - Country:US
Practice Address - Phone:352-343-3347
Practice Address - Fax:352-343-3347
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-02
Last Update Date:2010-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH7167101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health