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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TARA PETTIT DELOACH, LMFT

Active Sole Proprietor

Marriage & Family Therapist · AUGUSTA, GA

Registration Details

NPI Number
1790002947
Provider Type
Individual
Gender
Female
NPI Issued
Apr 28, 2010 (15.991659869918 yrs)
Last Updated
Jan 1, 2024
Licenses
1313 (NC)
MFT001470 (GA)
Sole Proprietor
Yes

Practice Information

Address
930 STEVENS CREEK RD STE 1
AUGUSTA, GA, 309073200
Browse GA providers · Browse ZIP 30907
Phone
7063433661
Primary Specialty
Marriage & Family Therapist
106H00000X
Additional Specialty
Marriage & Family Therapist

Other Marriage & Family Therapist Providers in AUGUSTA, GA

Name Credential NPI
MRS. SUSAN K ROBERTSON M.S.,L.M.F.T. 1144236043
KAREN SHAW BURCH MED, LMFT 1932282746
MR. SIDNEY AUSTIN GATES JR. LMFT 1801944327
MRS. ELEANOR KELSEY MARTIN THOMPSON LMFT 1427206580
MRS. JENNIFER LICHTENBERG ALVAREZ LMFT 1316174212
BRANDON COUSSENS 1811242209
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.