Provider Demographics
NPI:1699492439
Name:MINGEY, TARYN ELIZABETH (LPC)
Entity type:Individual
Prefix:
First Name:TARYN
Middle Name:ELIZABETH
Last Name:MINGEY
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2140 W THUNDERBIRD RD APT 2512
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85023-6013
Mailing Address - Country:US
Mailing Address - Phone:610-812-2996
Mailing Address - Fax:
Practice Address - Street 1:2140 W THUNDERBIRD RD APT 2512
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85023-6013
Practice Address - Country:US
Practice Address - Phone:610-812-2996
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-24
Last Update Date:2022-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC-20513101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty