Provider Demographics
NPI:1649343732
Name:ARNOLD, TARA GUEST (PHD, LCSW)
Entity type:Individual
Prefix:DR
First Name:TARA
Middle Name:GUEST
Last Name:ARNOLD
Suffix:
Gender:F
Credentials:PHD, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 LENOX POINTE NE STE 250
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30324-3167
Mailing Address - Country:US
Mailing Address - Phone:404-964-6629
Mailing Address - Fax:404-869-2952
Practice Address - Street 1:6 LENOX POINTE NE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30324-3167
Practice Address - Country:US
Practice Address - Phone:404-964-6629
Practice Address - Fax:404-869-2952
Is Sole Proprietor?:No
Enumeration Date:2006-11-16
Last Update Date:2025-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACSW32501041C0700X, 101YA0400X
GACSW3205101YM0800X
GA32501041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health