ALICIA LANDRUM LAC NPI 1245454347

NPI Information

NPI: 1245454347
Provider Name: ALICIA LANDRUM, LAC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
1719 MERRILL DR
LITTLE ROCK, AR
ZIP 72212
Phone: (501) 663-2199
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Alicia Landrum, LAC is a professional counselor in Little Rock, AR. Alicia Landrum, LAC NPI is 1245454347. 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:

1719 MERRILL DR
LITTLE ROCK, AR
ZIP 72212-009
Phone: (501) 663-2199

The enumeration date for this NPI number is 4/12/2007 and was last updated on 2/17/2022.

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	101Y00000X	Counselor		A1504062	ARKANSAS	No
2	171M00000X	Case Manager/Care Coordinator				No
3	101YP2500X	Counselor	Professional	P1807088	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	236661719	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: 11/14/2023

NPI Synchronization or Removal

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