Provider Demographics
NPI:1356960199
Name:COWANS, TARNESHALA
Entity type:Individual
Prefix:
First Name:TARNESHALA
Middle Name:
Last Name:COWANS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:598 BEECH SPRINGS RD
Mailing Address - Street 2:
Mailing Address - City:JONESBORO
Mailing Address - State:LA
Mailing Address - Zip Code:71251-2022
Mailing Address - Country:US
Mailing Address - Phone:318-475-0893
Mailing Address - Fax:
Practice Address - Street 1:403 COOPER AVE
Practice Address - Street 2:
Practice Address - City:JONESBORO
Practice Address - State:LA
Practice Address - Zip Code:71251-3326
Practice Address - Country:US
Practice Address - Phone:318-395-5006
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-12
Last Update Date:2020-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health