Healthcare Provider Details

I. General information

NPI: 1295087294
Provider Name (Legal Business Name): TARA JOINER LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/15/2012
Last Update Date: 07/25/2026
Certification Date: 07/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 HUSKINS PL
BELLA VISTA AR
72715-2911
US

IV. Provider business mailing address

1 HUSKINS PL
BELLA VISTA AR
72715-2911
US

V. Phone/Fax

Practice location:
  • Phone: 325-212-9268
  • Fax:
Mailing address:
  • Phone: 325-212-9268
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number67179
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberP2412020
License Number StateAR
# 3
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number67179
License Number StateTX
# 4
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberP2412020
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: