Bird, Tara Nicole

Bird, Tara Nicole is an individual health care provider with primary practice located at 4305 S Owasso Ave Apt 7 , Tulsa OK 74105-3902. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Other Service Providers / Peer Specialist. Other Service Providers / Peer Specialist is her primary health care specialty. Bird, Tara Nicole can be contacted via phone (918) 714-6590.

Contact Information

Primary practice address
4305 S Owasso Ave Apt 7 Tulsa OK 74105-3902
Phone: (918) 714-6590
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1932818721
LBN Legal business name Bird, Tara Nicole
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2022
Last updated Dec 30th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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