Provider / Organization | NPI | Date Certified |
---|---|---|
TIARA D ROBERSON | 1497472864 | 2022-12-03 |
Tiara D Roberson is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1497472864. Registration indicates Tiara D Roberson is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Counselor (Behavioral Health & Social Service Providers, Counselor) (Counselor: Mental Health, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Counselor Mental Health, Behavioral Health & Social Service Providers) (Counselor, )
Entity Type | Individual |
Provider Name | Tiara D Roberson LPC |
Practice Office Address | 13101 MEMORIAL SPRINGS CT OKLAHOMA CITY, OK US |
Practice Office Telephone | 4054383033 |
Mailing Address | 13101 MEMORIAL SPRINGS CT OKLAHOMA CITY, OK 731142226 US |
Business Telephone | 4054369088 |
Address | City / State | Phone / Fax |
---|---|---|
2005 NW 176th Ter | Edmond, OK 730124177 | 4054369088 |
Corporate Email [Secure] | [email protected] | Direct |
Code | Practice | License No State |
---|---|---|
101YM0800X PRIMARY | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Counselor Behavioral Health & Social Service Providers Counselor Counselor: Mental Health Behavioral Health/Substance Abuse/Psychiatry Counselor Mental Health Behavioral Health & Social Service Providers Counselor | 11065
OK |
193400000X SING | Group Code |