Provider Demographics
NPI:1518454123
Name:WARE, TAWNIE (LMHC)
Entity Type:Individual
Prefix:
First Name:TAWNIE
Middle Name:
Last Name:WARE
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:TAWNIE
Other - Middle Name:
Other - Last Name:SMITH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:10 WAUBONSIE AVE
Mailing Address - Street 2:
Mailing Address - City:TABOR
Mailing Address - State:IA
Mailing Address - Zip Code:51653-2032
Mailing Address - Country:US
Mailing Address - Phone:712-310-3920
Mailing Address - Fax:
Practice Address - Street 1:411 ORANGE ST
Practice Address - Street 2:
Practice Address - City:TABOR
Practice Address - State:IA
Practice Address - Zip Code:51653-2049
Practice Address - Country:US
Practice Address - Phone:198-049-7673
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-18
Last Update Date:2023-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA091900101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health