Provider Demographics
NPI:1487225082
Name:THOMAS, TARRA LYNN (LCSW)
Entity Type:Individual
Prefix:
First Name:TARRA
Middle Name:LYNN
Last Name:THOMAS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 23723
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59104-3723
Mailing Address - Country:US
Mailing Address - Phone:406-647-0766
Mailing Address - Fax:406-534-6674
Practice Address - Street 1:1220 AVENUE C
Practice Address - Street 2:SUITE C
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59102-3200
Practice Address - Country:US
Practice Address - Phone:406-647-0766
Practice Address - Fax:406-534-6674
Is Sole Proprietor?:No
Enumeration Date:2021-07-05
Last Update Date:2023-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTBBH-SWLC-LIC-317091041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical