DR. MISTI LYNNE POULOS LPC NPI 1508097858

NPI Information

NPI: 1508097858
Provider Name: DR. MISTI LYNNE POULOS, LPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

PECOS Registration: Yes

Address:
471 DORIS
SPRINGDALE, AR
ZIP 72762
Phone: (214) 632-4707
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DR. Misti Lynne Poulos, LPC is a professional counselor in Springdale, AR. DR. Misti Lynne Poulos, LPC NPI is 1508097858. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

471 DORIS
SPRINGDALE, AR
ZIP 72762-151
Phone: (214) 632-4707

The NPI 1508097858 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS).

The enumeration date for this NPI number is 8/4/2009 and was last updated on 2/16/2021.

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	P2101143	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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