Serifatu Tamara Walton-Buford, LMFT-A
Individual provider Active NPI Marriage & Family Therapist · North Little Rock, AR
NPI 1750793402 · NPPES record last updated Aug 17, 2020
Key facts
- NPI
- 1750793402
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- F1902001 (AR)
- Practice address
- 513 Main St
North Little Rock, AR 72114 - Phone
- (501) 777-5969
- Fax
- (317) 241-0201
- NPI assigned
- May 29, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F1902001 | AR | MD | Marriage & Family Therapist |
| 85000095A | IN | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McCoy Counseling LLC | Current |
Accepting new patients | |
| Mental Wellness Connection | Marriage & Family Therapist | Current |
Accepting new patients |
| Hope Haven Psychological Resource, LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 85000095A | IN | |
| Marriage & Family Therapist | 106H00000X | F1902001 | AR | Yes |
Addresses
Primary practice location
513 Main St
North Little Rock, AR 72114
Mailing address
513 Main St
North Little Rock, AR 72114
Phone (501) 777-5969
Other names
- Serifatu Tamara Walton
Other providers in North Little Rock, AR
- Ama Gean Wallace
- Kimberly Waller-Johnson
- Jennifer Nipps Wallgren
- Claire Wallin
- Walmart Inc.
- Sara Michelle Walton
- Jana Ward
- Sherry Nicole Ward
- Taylor Ward
- Melanie J Ware
All providers in North Little Rock, AR · Marriage & Family Therapist in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 17, 2020. 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.