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Provider Information for 1346560539


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Miss TAHSHA HANSARD LPC


Sex: Female

NPI: 1346560539
Last Updated: 2025-03-19
Certification Date: 2025-03-19

Details

NameValue
NPI1346560539
Enumeration Date2010-06-10
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address PO BOX 740020
ATLANTA, GA 30374-0020
United States

Phone: 312-733-9730 | Fax:773-866-8014
 
Primary Practice Address 7521 SE 15TH ST
MIDWEST CITY, OK 73110-5425
United States

Phone: 405-453-8004 | Fax:405-561-5857
 
Secondary Practice Address(es)

1845 NW 7TH ST
OKLAHOMA CITY, OK 73106-2405
United States

Phone: 405-514-2742 | Fax:
 

Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
No 101YM0800X - Counselor - Mental Health
Yes 101YP2500X - Counselor - ProfessionalOK10343