Tara Ann Goldsborough, B.S., BHRS
Individual provider Active NPI Mental Health Counselor · Red Oak, OK
NPI 1134493901 · NPPES record last updated Feb 26, 2012
Key facts
- NPI
- 1134493901
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 5019 NE 1182ND Ave
Red Oak, OK 74563-5120 - Phone
- (918) 448-7473
- Fax
- (918) 465-5325
- NPI assigned
- Feb 26, 2012
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Bachelor of Science
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
5019 NE 1182ND Ave
Red Oak, OK 74563-5120
Mailing address
5019 NE 1182ND Ave
Red Oak, OK 74563-5120
Phone (918) 448-7473
Other providers in Red Oak, OK
- Destiny Benson
- Steven Forwoodson
- Home Town Medical Supplies
- Janet Arlene Ingle
- Kristen Jennings
- John Jolley Jr.
- Tina McBride
All providers in Red Oak, OK · Mental Health Counselor in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 26, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.