Tara Womble, LCSW, LCDC

NPI 1174002901 · on the registry since 2018 · sole proprietor

Practice

Address: 28496 Ranch Road 12 Ste 200
Dripping Springs, TX 78620
Phone: (254) 498-8104
Organisation at this address: Revive Wound Care Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: 104100000X
104100000X
Also registered as: 101YA0400X
Licence states on file: TX
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2024-11-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas