| Doctor Name: | TANGELA MARIE BETFORD |
| NPI Number: | 1124467139 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PLMSW |
| License Number: | |
| Business Practice Address: | 707 E Greenwood St Hope, AR - 718019666 |
| Business Phone Number: | 8707779800 |
| Business Fax Number: | 8707779811 |
| Mailing Address: | 2904 Arkansas Blvd, TEXARKANA |
| State: | AR |
| Postal Code: | 718542536 |
| Phone Number: | 8707734655 |
| Fax Number: | 8707724650 |
| NPI Enumeration Date: | 06/24/2013 |
| NPI Last Update Date: | 06/24/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AR |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |