STACI YVONNE DUVALL M.ED. LPC NPI 1205118049

NPI Information

NPI: 1205118049
Provider Name: STACI YVONNE DUVALL, M.ED., LPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
1021 E POPLAR ST
CLARKSVILLE, AR
ZIP 72830
Phone: (479) 754-8610
Get Directions

Staci Yvonne Duvall, M.ED., LPC is a professional counselor in Clarksville, AR. Staci Yvonne Duvall, M.ED., LPC NPI is 1205118049. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1021 E POPLAR ST
CLARKSVILLE, AR
ZIP 72830-428
Phone: (479) 754-8610
Fax: (479) 754-8788

The enumeration date for this NPI number is 9/19/2011 and was last updated on 4/30/2020.

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	P1503016	ARKANSAS	No
2	101YP2500X	Counselor	Professional	P1503016	ARKANSAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	227034719	MEDICAID	ARKANSAS

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: 4/28/2024

NPI Synchronization or Removal

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