Provider Demographics
NPI:1902375330
Name:SCALA, TARYN (LMHC)
Entity Type:Individual
Prefix:
First Name:TARYN
Middle Name:
Last Name:SCALA
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 PALM TRL STE 200
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33483-5877
Mailing Address - Country:US
Mailing Address - Phone:561-771-4800
Mailing Address - Fax:
Practice Address - Street 1:6801 LAKE WORTH RD STE 202
Practice Address - Street 2:
Practice Address - City:GREENACRES
Practice Address - State:FL
Practice Address - Zip Code:33467-2965
Practice Address - Country:US
Practice Address - Phone:561-249-7335
Practice Address - Fax:561-455-9988
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-14
Last Update Date:2020-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH12801101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLMH12801OtherFLORIDA DEPARTMENT OF HEALTH LICENSE