MRS. KELLYE GAUTIER LPC NPI 1104272616

NPI Information

NPI: 1104272616
Provider Name: MRS. KELLYE GAUTIER, LPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
2003 SE WALTON BLVD
BENTONVILLE, AR
ZIP 72712
Phone: (479) 725-6000
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MRS. Kellye Gautier, LPC is a professional counselor in Bentonville, AR. MRS. Kellye Gautier, LPC NPI is 1104272616. 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:

2003 SE WALTON BLVD
BENTONVILLE, AR
ZIP 72712-725
Phone: (479) 725-6000
Fax: (479) 750-4843

The enumeration date for this NPI number is 5/13/2016 and was last updated on 10/17/2018.

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	P1810135	ARKANSAS	Yes
2	106H00000X	Marriage & Family Therapist		F1411018	ARKANSAS	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: 4/28/2024

NPI Synchronization or Removal

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