Miss Tara Nicole Russell
MS, BCBA, LBA | Addiction (Substance Use Disorder) Counselor
6550 E Broadway Rd Ste 110, Mesa
Arizona, 85206-1734
480-672-0772 317-520-8200
Maps & DirectionsMiss Tara Nicole Russell is a Mesa, Arizona based counselor who is specialized as Addiction (Substance Use Disorder) Counselor. Active license number of Miss Tara Nicole Russell is BEH-000896 for Behavioral Analyst in Arizona. Her current practice location is 6550 E Broadway Rd Ste 110, Mesa. Patients can book an appointment with her at 480-672-0772.
Miss Tara Nicole Russell is a licensed mental health therapist who help individuals struggling with addiction of alcohol, drug, or other substance use disorder. She helps her clients by manage and overcome the psychological, emotional, and behavioral challenges related to substance use. Counselors also work closely with families and support systems to help them better understand their loved one’s illness. SUD counselors help to promote long-term sobriety, emotional stability, and overall mental wellness for both the individual and their family.
Complete Profile:
Miss Tara Nicole Russell speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Miss Tara Nicole Russell |
| Specialization: | Addiction (Substance Use Disorder) Counselor |
| Gender: | Female |
| Credentials: | MS, BCBA, LBA |
| Accepts Medicare Assignment: | No |
| Practice Address: | 6550 E Broadway Rd Ste 110, Mesa,
Arizona, 85206-1734 |
| Phone: | 480-672-0772 |
| Fax: | 317-520-8200 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1649429465 |
| NPI Enumeration Date: | 17 Sep, 2008 |
| NPI Last Update On: | 01 May, 2023 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Miss Tara Nicole Russell are as mentioned below.
| License Number | Specialization | State | Status | |
| BEH-000896 | Behavioral Analyst | Arizona | Primary | |
| Addiction (Substance Use Disorder) Counselor | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Miss Tara Nicole Russell such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 1-21-48060 | Other | | BCBA CERTIFICATE |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 7108 S Kanner Hwy,
Stuart, Florida |
| Zip: | 34997-7462 |
| Phone Number: | 855-832-6727 |
| Fax Number: | 772-675-9100 |
Patients can reach Miss Tara Nicole Russell at
6550 E Broadway Rd Ste 110, Mesa, Arizona or can
call to book an appointment on 480-672-0772.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.