person
Tanisha Penn Moore, LADC
Addiction (Substance Use Disorder) Counselor in Sand Springs, Oklahoma
NPI 1295018034

Tanisha Penn Moore is an Addiction (Substance Use Disorder) Counselor based in Tulsa, OK and is specialized in Addiction (Substance Use Disorder). Tanisha Penn Moore practices in Sand Springs, OK and has the professional credentials of LADC. The NPI Number for Tanisha Penn Moore is 1295018034 and holds a License No. 917 (Oklahoma).

The current practice location address for Tanisha Penn Moore is 2727 S 137Th West Ave, Sand Springs, OK and can be reached out via phone at 918-245-0231 and via fax at 918-241-5031. You can also correspond with Tanisha Penn Moore through the mailing address at PO BOX 1101, TULSA, OK - 74101-1101 (mailing address contact number: 918-245-0231).

Location: 2727 S 137Th West Ave, Sand Springs, OK, 74101-1101
person
Provider Profile Details
NPI Number
1295018034
Provider Name
Tanisha Penn Moore
Credential
LADC
Provider Entity Type
Individual
Gender
Female
Address
2727 S 137Th West Ave, Sand Springs, OK, 74101-1101
Phone Number
918-245-0231
Fax Number
918-241-5031
Provider Enumeration Date
09/27/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2727 S 137Th West Ave
City
State
Zip
74063-5017
Phone Number
918-245-0231
Fax Number
918-241-5031
person
Provider Business Mailing Address Details
Address
2727 S 137Th West Ave
City
State
Zip
74063-5017
Phone Number
918-245-0231
Fax Number
918-241-5031
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
917 (Oklahoma)
Definition
Definition to come...
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.