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NPI Code Detail

MEDICARE: TANESHA EABRON LPC

MEDICARE: TANESHA EABRON 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
1101YP2500XProfessional CounselorP2006024AR

General Provider Information

NPI Number : 1457851883
Entity Type Code : Individual
Provider Name (Legal Business Name) : TANESHA EABRON LPC
Provider Business Mailing Address
First Line : 1707 LINWOOD DR STE B
Second Line :
City : PARAGOULD
State : AR
Zip : 72450-5365
Country : US
Telephone Number : 870-604-4455
Fax Number : 888-977-2956
Provider Business Practice Location Address
First Line : 1055 SUNFLOWER DR STE 104
Second Line :
City : CONWAY
State : AR
Zip : 72034-3651
Country : US
Telephone Number : 501-431-0075
Fax Number : 888-977-2956
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/12/2018
Last Update Date : 01/06/2026

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Directions to “ TANESHA EABRON LPC” Practice Location

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