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TARA PETTIT DELOACH LLC
NPI 1124897145
Clinic/Center - Adult Mental Health in Augusta, GA

Active since January 02, 2024
930 STEVENS CREEK RD, AUGUSTA, GA 30907(706) 343-3661 Get Directions Write a Review

NPPES record last updated: January 2, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tara Pettit Deloach Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TARA PETTIT DELOACH LLC (NPI 1124897145) is a healthcare organization registered as an adult mental health in Augusta, Georgia and active in the NPI registry since January 2024. The organization lists Tara Pettit Deloach, Owner, as its authorized official.

NPPES Registry Identity

NPI1124897145
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameTARA PETTIT DELOACH LLC
Location Address930 STEVENS CREEK RDAugusta, GA 30907-3200
Mailing Address930 Stevens Creek RdAugusta, GA 30907-3200 · (706) 343-3661
Phone(706) 343-3661
Organization SubpartNo
Authorized OfficialTara Pettit DeloachOwner · (706) 343-3661
Enumeration DateJanuary 2, 2024
NPPES CertifiedJanuary 2, 2024
✔ NPI 1124897145 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
930 STEVENS CREEK RD, Augusta, GA 30907
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tara Pettit Deloach LLC's NPI number?

The NPI number for Tara Pettit Deloach LLC is 1124897145. It was assigned to this organization in the NPPES registry on January 2, 2024.

Where is Tara Pettit Deloach LLC located?

Tara Pettit Deloach LLC is located at 930 Stevens Creek Rd, Augusta, GA 30907. The listed phone number is (706) 343-3661.

What is Tara Pettit Deloach LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

When was this NPI record last updated?

The NPPES record for Tara Pettit Deloach LLC was last updated on January 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.