Individual provider · Type 1 NPI
Lara Tant, MA, R-DMT, RMHCI
Mental Health Counselor · St. Augustine, FL
NPI number
1134090079
Active
Practice location
7 2nd St Apt B
St. Augustine, FL 32080-3899
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | IMH21196 (FL) |
Mental Health Counselor: Definition to come...
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About NPI 1134090079
Lara Tant, MA, R-DMT, RMHCI's National Provider Identifier is 1134090079, issued on Sep 15, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in St. Augustine, FL. The record was last updated on Sep 15, 2025.