Tara A Smith, ED.S, LPC, NCSP

NPI #1083057566 in Moore, Oklahoma

Provider Information

NPI Number: 1083057566
Entity Type: Individual
Name: Tara A Smith, ED.S, LPC, NCSP
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Credential: ED.S, LPC, NCSP
Enumeration Date: Apr 15, 2013
Last Updated: Mar 4, 2025

Practice Location

Address: 501 SE 4TH ST STE C
City: Moore
State: Oklahoma
ZIP Code: 73160-6831
Phone: (405) 653-8012

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X
Developmental Therapist	222Q00000X
Counselor - Professional — Professional	101YP2500X
Counselor	101Y00000X	Primary

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