Tamara Lou Allen, MASTERS COUNSELING
Individual provider Active NPI Professional Counselor · Edmond, OK
NPI 1801162425 · NPPES record last updated Feb 19, 2024
Key facts
- NPI
- 1801162425
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 11741 (OK)
- Practice address
- 16301 Sonoma Park Dr
Edmond, OK 73013-2091 - Phone
- (405) 246-5433
- NPI assigned
- Mar 28, 2012
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
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 |
|---|---|---|---|
| 11741 | OK | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Indian Health Care Resource Center | Past |
Accepting new patients | |
| Indian Health Care Resource Center of Tulsa, Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 11741 | OK | Yes |
Addresses
Primary practice location
16301 Sonoma Park Dr
Edmond, OK 73013-2091
Mailing address
12005 SW 51St St
Mustang, OK 73064-7909
Phone (918) 978-7892
Other practice location 1
12005 SW 51st St
Mustang, OK 73064-7909
Phone (918) 978-7892
Other names
- Tamara Lou Cooke
Other providers in Edmond, OK
- Keely Nicole Allen
- Kelli Joanne Allen
- Kelsey Allen
- Malia Allen
- Mongo Allen
- Nicholas Cash Allensworth
- Allfaith Homecare
- Allied Counseling Associates
- Brooke Danielle Allison
- Noah Allison
All providers in Edmond, OK · Professional 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 19, 2024. 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.