MS. DOROTHA DIANE BYNUM LPC NPI 1205846706

NPI Information

NPI: 1205846706
Provider Name: MS. DOROTHA DIANE BYNUM, LPC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
4301 S 16TH ST
FORT SMITH, AR
ZIP 72901
Phone: (479) 242-1003
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MS. Dorotha Diane Bynum, LPC is a mental health counselor in Fort Smith, AR. MS. Dorotha Diane Bynum, LPC NPI is 1205846706. 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:

4301 S 16TH ST
FORT SMITH, AR
ZIP 72901-061
Phone: (479) 242-1003
Fax: (501) 510-5917

The enumeration date for this NPI number is 8/8/2006 and was last updated on 1/6/2021.

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	P1111089	ARKANSAS	Yes
2	101YM0800X	Counselor	Mental Health			No

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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