| Tara Bethany Elie, | |
|
411 3rd St Se, Osseo, MN 55369-1606 | |
| (763) 951-3091 | |
| (763) 951-3097 |
| Full Name | Tara Bethany Elie |
|---|---|
| Gender | Female |
| Speciality | Marriage & Family Therapist |
| Location | 411 3rd St Se, Osseo, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386069524 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 4210 (Minnesota) | Primary |
| Entity Name | Taras Restoration Counseling And Coaching |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447015060 PECOS PAC ID: 2365880218 Enrollment ID: O20240410003835 |
| Mailing Address | Practice Location Address |
|---|---|
| Tara Bethany Elie, 11141 Zealand Ave N, Champlin, MN 55316-3595 Ph: (763) 951-3091 | Tara Bethany Elie, 411 3rd St Se, Osseo, MN 55369-1606 Ph: (763) 951-3091 |
Mrs. Lori Ann Brown-de Alba, M.A., LMFT Couples Therapy Medicare: Accepting Medicare Assignments Practice Location: 508 3rd St Se, Osseo, MN 55369 Phone: 612-315-0353 | |
Snow Lee, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 225 1st Ave Ne, Osseo, MN 55369 Phone: 559-569-3366 | |
Mrs. Rebecca J Adams, MA, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 411 3rd St Se, Osseo, MN 55369 Phone: 763-600-7572 Fax: 844-407-4565 | |
Nicole Andrea Arduino, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 508 3rd St Se, Osseo, MN 55369 Phone: 612-315-0353 | |
Jennifer S Thomas, MA, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 225 1st Ave Ne, Osseo, MN 55369 Phone: 763-230-5080 |