KELLY DENISSE LEADER LAC NPI 1295474344

NPI Information

NPI: 1295474344
Provider Name: KELLY DENISSE LEADER, LAC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
1501 S WALDRON RD STE 100
FORT SMITH, AR
ZIP 72903
Phone: (479) 561-7600
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Kelly Denisse Leader, LAC is a professional counselor in Fort Smith, AR. Kelly Denisse Leader, LAC NPI is 1295474344. 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:

1501 S WALDRON RD STE 100
FORT SMITH, AR
ZIP 72903-568
Phone: (479) 561-7600
Fax: (479) 434-4333

The enumeration date for this NPI number is 5/27/2022 and was last updated on 5/27/2022.

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	101YP2500X	Counselor	Professional	A2106018	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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