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Tamra White, LPC
Counselor in Southlake, Texas
NPI 1366441578

Tamra White is a Counselor based in Grapevine, TX. Tamra White practices in Southlake, TX and has the professional credentials of LPC. The NPI Number for Tamra White is 1366441578 and holds a License No. 16685 (Texas).

The current practice location address for Tamra White is 2485 E Southlake Blvd, Southlake, TX and can be reached out via phone at 940-224-0105 and via fax at 817-488-9656.

Location: 2485 E Southlake Blvd, Southlake, TX, 76051-4302
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366441578
Provider Name
Tamra White
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
2485 E Southlake Blvd, Southlake, TX, 76051-4302
Phone Number
940-224-0105
Fax Number
817-488-9656
Provider Enumeration Date
07/19/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
286692 01 TX MHN
123743 01 TX SUPERIOR
7856443 01 TX AETNA BEHAVIORAL HEALTH
145671701 05 TX
6137LC 01 TX BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
2485 E Southlake Blvd
City
Southlake
State
Texas
Zip
76092-6686
Phone Number
940-224-0105
Fax Number
817-488-9656
person
Provider Business Mailing Address Details
Address
2485 E Southlake Blvd
City
Southlake
State
Texas
Zip
76092-6686
Phone Number
940-224-0105
Fax Number
817-488-9656
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
16685 (Texas)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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