MEDICARE: TARA DAWN CAMPBELL LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1306077052
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TARA DAWN CAMPBELL LPC

Provider Business Mailing Address
First Line	:	PO BOX 189
Second Line	:
City	:	ARDMORE
State	:	OK
Zip	:	73402-0189
Country	:	US
Telephone Number	:	580-319-7305
Fax Number	:	580-319-7328

Provider Business Practice Location Address
First Line	:	2007 N COMMERCE ST
Second Line	:
City	:	ARDMORE
State	:	OK
Zip	:	73401-1268
Country	:	US
Telephone Number	:	802-235-6365
Fax Number	:	580-226-6727

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/29/2009
Last Update Date	:	01/13/2025

Similar Medicare Providers

1760317796 — JIMMY RALLS
Practice Location Address:

2007 N COMMERCE ST
ARDMORE, OK
73401-1268

Practice Phone: 580-223-5636
Practice Fax: 580-226-6727

1962337907 — JACOB BENNER
Practice Location Address:

2007 N COMMERCE ST
ARDMORE, OK
73401-1268

Practice Phone: 580-223-5636
Practice Fax: 580-226-6727

1366375693 — KYRTLEIGH SNOW
Practice Location Address:

2007 N COMMERCE ST
ARDMORE, OK
73401-1268

Practice Phone: 580-223-5636
Practice Fax: 580-226-6727

1437393931 — DR. NEAL CHARLES SMALL M.D.
Practice Location Address:

2007 N COMMERCE ST , SUITE 201
ARDMORE, OK
73401-1268

Practice Phone: 580-226-4599
Practice Fax: 580-226-4599

1174862320 — BRAD T BROGDON LPC
Practice Location Address:

2007 N COMMERCE ST
ARDMORE, OK
73401-1268

Practice Phone: 580-223-5636
Practice Fax:

1063903839 — FELICIA HURST THERAPY LLC
Practice Location Address:

2007 N COMMERCE ST STE 212
ARDMORE, OK
73401-1268

Practice Phone: 918-916-9896
Practice Fax:

Directions to “ TARA DAWN CAMPBELL LPC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.