TARA BRUENING LMHC
NPI 1457609059
Counselor - Mental Health in Decorah, IA
Active since August 29, 2012
About Tara Bruening Lmhc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TARA BRUENING LMHC (NPI 1457609059) is an individual mental health provider in Decorah, Iowa, licensed in Iowa (001508) and active in the NPI registry since August 2012.
NPPES Registry Identity
NPI1457609059
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameTARA BRUENINGCredential: LMHC
Location Address905 MONTGOMERY STDecorah, IA 52101-2325
Mailing Address905 Montgomery StDecorah, IA 52101-2325 · (563) 382-3649 · Fax (563) 382-8183
Phone(563) 382-3649
Fax(563) 382-8183
Sole ProprietorNo
Enumeration DateAugust 29, 2012
Last NPPES UpdateNovember 2, 2012
✔ NPI 1457609059 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in IA · 001508
905 MONTGOMERY ST, Decorah, IA 52101
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Clinic/Center (Mental Health (Including Community Mental Health Center))
905 MONTGOMERY ST
DECORAH, IA 52101
DECORAH, IA 52101
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1457609059, enumerated as an "individual" on August 29, 2012.
The provider is located at 905 MONTGOMERY ST DECORAH, IA 52101 and the phone number is (563) 382-3649.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
