Provider Demographics
NPI:1972583987
Name:TARRANT, BETTE LOU (CLINICAL SOCIAL WORK)
Entity type:Individual
Prefix:
First Name:BETTE
Middle Name:LOU
Last Name:TARRANT
Suffix:
Gender:F
Credentials:CLINICAL SOCIAL WORK
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1039 S. 106TH PLAZA
Mailing Address - Street 2:#302
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68114-4773
Mailing Address - Country:US
Mailing Address - Phone:402-960-0192
Mailing Address - Fax:402-502-9538
Practice Address - Street 1:11414 WEST CENTER ROAD
Practice Address - Street 2:#233
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68144
Practice Address - Country:US
Practice Address - Phone:402-960-0192
Practice Address - Fax:402-502-9538
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-18
Last Update Date:2013-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE2781041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical