Provider Demographics
NPI:1376516187
Name:STRONG, TARA (LCP)
Entity Type:Individual
Prefix:
First Name:TARA
Middle Name:
Last Name:STRONG
Suffix:
Gender:F
Credentials:LCP
Other - Prefix:
Other - First Name:TARA
Other - Middle Name:
Other - Last Name:STRONG-TUCKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8787 BALLENTINE
Mailing Address - Street 2:SUITE 1200
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66214
Mailing Address - Country:US
Mailing Address - Phone:913-339-9933
Mailing Address - Fax:913-339-9915
Practice Address - Street 1:480 S ROGERS RD
Practice Address - Street 2:
Practice Address - City:OLATHE
Practice Address - State:KS
Practice Address - Zip Code:66062-1706
Practice Address - Country:US
Practice Address - Phone:913-324-3823
Practice Address - Fax:913-768-1437
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-10
Last Update Date:2021-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS300103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical