MRS. PEYTON RAE WOODRUFF LAC NPI 1225691058

NPI Information

NPI: 1225691058
Provider Name: MRS. PEYTON RAE WOODRUFF, LAC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
20400 COLONEL GLENN RD
LITTLE ROCK, AR
ZIP 72210
Phone: (501) 821-5500
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MRS. Peyton Rae Woodruff, LAC is a professional counselor in Little Rock, AR. MRS. Peyton Rae Woodruff, LAC NPI is 1225691058. 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:

20400 COLONEL GLENN RD
LITTLE ROCK, AR
ZIP 72210-323
Phone: (501) 821-5500
Fax: (501) 821-5580

The enumeration date for this NPI number is 4/17/2019 and was last updated on 4/17/2019.

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	A1902019	ARKANSAS	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	A1902019	OTHER	ARKANSAS	LAC

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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