Tara Lottes | Liberty, MO • PECOS Search

Tara Lottes

Counselor

Behavioral Health & Social Service Providers

110 Westwoods Dr, Liberty, MO 64068-1181

PECOS Enrollment

Based on the most recent information from CMS, provider Tara Lottes does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1205662467
Provider Type
Individual
Full Name
Lottes, Tara
Credential
PLPC

Gender
Female
Sole Proprietor
Yes
Enumeration Date
9/12/2024
Last Updated
1/30/2025

Contact Information

Practice Location

110 Westwoods Dr, Liberty, MO 64068-1181

Unlisted Fax

Mailing Location

110 Westwoods Dr, Liberty, MO 64068-1181

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YP2500X Primary	Description Counselor Behavioral Health & Social Service Providers	License 2024035624 Missouri