Syita Tarre Rodriguez-Blash, LMFTA
Marriage & Family Therapist in Oklahoma City, OK. Individual provider (NPI-1).
NPI number1982244505
StatusActive
Last updated in NPPESJun 14, 2024
Details
- NPI
- 1982244505
- Entity type
- Individual (NPI-1)
- Name
- Syita Tarre Rodriguez-Blash
- Credential
- LMFTA
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 11, 2020
- Certification date
- Mar 22, 2024
- Last updated
- Jun 14, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - MARRIAGE AND FAMILY THERAPIST
- Can order and refer
- Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 203572 | TX | Yes |
Practice location
11901 N Macarthur Blvd Ste D3Oklahoma City, OK 73162-1855
Phone 405-492-7576
Mailing address
1316 Nw 171st StEdmond, OK 73012-7420
Phone 316-214-8773
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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