DUSTIN WAYNE ROBERSON PROVISIONAL L.P.E NPI 1861797227

NPI Information

NPI: 1861797227
Provider Name: DUSTIN WAYNE ROBERSON, PROVISIONAL L.P.E
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
125 DONS WAY
HOT SPRINGS, AR
ZIP 71913
Phone: (501) 624-7111
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Dustin Wayne Roberson, PROVISIONAL L.P.E is a mental health counselor in Hot Springs, AR. Dustin Wayne Roberson, PROVISIONAL L.P.E NPI is 1861797227. 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:

125 DONS WAY
HOT SPRINGS, AR
ZIP 71913-478
Phone: (501) 624-7111
Fax: (501) 620-5109

The enumeration date for this NPI number is 1/17/2011 and was last updated on 2/24/2012.

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	10-57AE-PL	ARKANSAS	No
2	101YM0800X	Counselor	Mental Health	10-50 AE-PL	ARKANSAS	No
3	101YM0800X	Counselor	Mental Health	12-02 AE-PL	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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