Provider Demographics
NPI:1073151353
Name:DEGAY, TARSHA MARIE
Entity type:Individual
Prefix:
First Name:TARSHA
Middle Name:MARIE
Last Name:DEGAY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2315 VILLAGE LEAF DR
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77386-3291
Mailing Address - Country:US
Mailing Address - Phone:720-229-2293
Mailing Address - Fax:
Practice Address - Street 1:2315 VILLAGE LEAF DR
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77386-3291
Practice Address - Country:US
Practice Address - Phone:720-229-2293
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-12-17
Last Update Date:2024-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0000083101YA0400X
101YM0800X
CO0016325101YP2500X
TX88096101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health