Healthcare Provider Details

I. General information

NPI: 1306755590
Provider Name (Legal Business Name): SANDRA KARINA TUN LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/03/2026
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1700 E QUARTER RD
SILOAM SPRINGS AR
72761-4603
US

IV. Provider business mailing address

1308 DEERFIELD MDW
SILOAM SPRINGS AR
72761-8275
US

V. Phone/Fax

Practice location:
  • Phone: 479-238-1222
  • Fax:
Mailing address:
  • Phone: 479-373-0471
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number2025031702
License Number StateMO
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberP2505005
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: