Provider Demographics
NPI:1639994056
Name:KING, TAMRA RENEE (MS,LPC ASSOCIATE)
Entity type:Individual
Prefix:MS
First Name:TAMRA
Middle Name:RENEE
Last Name:KING
Suffix:
Gender:F
Credentials:MS,LPC ASSOCIATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5108 POST OAK TRL
Mailing Address - Street 2:
Mailing Address - City:COLLEYVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:76034-5967
Mailing Address - Country:US
Mailing Address - Phone:817-726-6144
Mailing Address - Fax:
Practice Address - Street 1:5108 POST OAK TRL
Practice Address - Street 2:
Practice Address - City:COLLEYVILLE
Practice Address - State:TX
Practice Address - Zip Code:76034-5967
Practice Address - Country:US
Practice Address - Phone:817-726-6144
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-20
Last Update Date:2024-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX97091101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health