PAUL TYLER HICKERSON MS CRC LAC NPI 1134411036

NPI Information

NPI: 1134411036
Provider Name: PAUL TYLER HICKERSON, MS, CRC, LAC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
1340 S WALDRON RD
FORT SMITH, AR
ZIP 72903
Phone: (479) 452-5040
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Paul Tyler Hickerson, MS, CRC, LAC is a mental health counselor in Fort Smith, AR. Paul Tyler Hickerson, MS, CRC, LAC NPI is 1134411036. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1340 S WALDRON RD
FORT SMITH, AR
ZIP 72903-556
Phone: (479) 452-5040
Fax: (479) 452-5047

The enumeration date for this NPI number is 5/10/2011 and was last updated on 8/1/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	P1408057	ARKANSAS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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