THERESA BEARDEN LMSW NPI 1205217189

NPI Information

NPI: 1205217189
Provider Name: THERESA BEARDEN, LMSW
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
2215 E OAK ST STE 1
CONWAY, AR
ZIP 72032
Phone: (501) 336-0511
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Theresa Bearden, LMSW is a mental health counselor in Conway, AR. Theresa Bearden, LMSW NPI is 1205217189. 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:

2215 E OAK ST STE 1
CONWAY, AR
ZIP 72032-644
Phone: (501) 336-0511
Fax: (501) 336-4037

The enumeration date for this NPI number is 6/16/2015 and was last updated on 2/7/2018.

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	101YM0800X	Counselor	Mental Health			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	116378726	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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