Organization
TARA P THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TARA PRESTRIDGE LPC (OWNER)
(870) 866-0681
Entity
Organization
Contact information
Practice address
128 SOUTHWINDS RD STE 5-6, FARMINGTON, AR 72730-8652
(479) 267-6934
(866) 798-3345
Mailing address
1846 N BEST FRIEND LN, FAYETTEVILLE, AR 72704-6520
(870) 866-0681
(866) 798-3345
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
P1110085
AR
Other
Enumeration date
05/20/2018
Last updated
05/20/2018
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