Individual
TIARA LANIECE SHOALS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9810 E 42ND ST STE 226, TULSA, OK 74146-3600
(918) 853-1358
Mailing address
9810 E 42ND ST STE 226, TULSA, OK 74146-3600
(918) 853-1358
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
Primary
10773
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43-1236557
—
OK
Enumeration date
03/05/2014
Last updated
02/17/2026
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