Search › North Carolina › 1041C0700X
Tara Roach, MSW,LCSW LCAS,CCSOTS
NPI 1164879854 · on the registry since 2016 · sole proprietor
Practice
- Address
- 2428 Charles Blvd Ste 102
Greenville, NC 27858 - Phone
- (919) 337-2644
- Fax
- (919) 882-9289
- Organisation at this address
- Youth Villages
Dominating Therapeutic Services, PllcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 15
Additional practice sites
- 600 Lynndale Ct Ste F, Greenville, NC
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 101YA0400X
- Licence states on file
- NC
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-11-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina