Provider Demographics
NPI:1508073628
Name:SHERMAN-HARRIS-GOLSON, TASHA (MS)
Entity Type:Individual
Prefix:MS
First Name:TASHA
Middle Name:
Last Name:SHERMAN-HARRIS-GOLSON
Suffix:
Gender:F
Credentials:MS
Other - Prefix:MS
Other - First Name:TASHA
Other - Middle Name:
Other - Last Name:SHERMAN-HARRIS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:U/S,LADC CASE MA
Mailing Address - Street 1:PO BOX 50315
Mailing Address - Street 2:
Mailing Address - City:MIDWEST CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73140-5315
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7250 NW EXPRESSWAY STE 200
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73132-1522
Practice Address - Country:US
Practice Address - Phone:405-802-9040
Practice Address - Fax:405-554-2947
Is Sole Proprietor?:No
Enumeration Date:2007-05-17
Last Update Date:2021-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X, 101YA0400X
OK171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No171M00000XOther Service ProvidersCase Manager/Care Coordinator