Tate, Angela D

Tate, Angela D is an sole proprietor health care provider with primary practice located at 815 N Spring St , Harrison AR 72601-2904. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Tate, Angela D can be contacted via phone (870) 204-5697.

Contact Information

Primary practice address
815 N Spring St Harrison AR 72601-2904
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 2038-C Arkansas

Profile Details

NPI number 1831142785
LBN Legal business name Tate, Angela D
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 19th, 2006
Last updated Feb 9th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831142785 NPPES
Arkansas Other 06070013800 QUALCHOICE
Arkansas Other 5Y956 QUALCHOICE

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