Smith, Tara A

Smith, Tara A is an sole proprietor health care provider with primary practice located at 501 Se 4Th St Ste C , Moore OK 73160-6831. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Smith, Tara A can be contacted via phone (405) 653-8012.

Contact Information

Primary practice address
501 Se 4Th St Ste C Moore OK 73160-6831
Phone: (405) 653-8012
Fax: (877) 715-9937
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 12-49 AE-PL Arkansas
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X
Behavioral Health & Social Service Providers / Professional 101YP2500X
Behavioral Health & Social Service Providers / Counselor 101Y00000X LPC07270 Oklahoma

Profile Details

NPI number 1083057566
LBN Legal business name Smith, Tara A
Credentials ED.S, LPC, NCSP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 15th, 2013
Last updated Mar 4th, 2025 - about last year

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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