Individual
TARA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5060 N 19TH AVE # 207-7, PHOENIX, AZ 85015-3210
(520) 730-5585
Mailing address
1815 W COLTER ST APT 27, PHOENIX, AZ 85015-3044
(520) 730-5585
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-19031
AZ
101YP2500X
Professional Counselor
LCPC-03502
KS
Other
Enumeration date
06/04/2020
Last updated
03/23/2026
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