Tara Keegan | Bloomington, MN • PECOS Search

Tara Keegan

Counselor

Behavioral Health & Social Service Providers

1801 American Blvd E, Suite 1, Bloomington, MN 55425-1232

PECOS Enrollment

Based on the most recent information from CMS, provider Tara Keegan 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 yesterday at 12:57 PM.

Profile Details

Provider ID
1982034054
Provider Type
Individual
Full Name
Keegan, Tara
Title
Mrs.

Gender
Female
Sole Proprietor
No
Enumeration Date
11/26/2013
Last Updated
11/26/2013

Contact Information

Practice Location

1801 American Blvd E, Suite 1, Bloomington, MN 55425-1232

Unlisted Fax

Mailing Location

7428 Fremont Ave S, Richfield, MN 55423-3942

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License CC00600 Minnesota