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DAILY BREAD COUNSELING NPI 1558694802


NPI Information

NPI: 1558694802
Provider Name: DAILY BREAD COUNSELING
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
200 N MARKET ST
BENTON, AR
ZIP 72015
Phone: (501) 847-2229
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DAILY BREAD COUNSELING is a mental health counselor in Benton, AR. DAILY BREAD COUNSELING NPI is 1558694802. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

200 N MARKET ST
BENTON, AR
ZIP 72015-733
Phone: (501) 847-2229
Fax: (501) 847-8608

The provider's authorized official is Garry Dean Teeter .
The authorized official title is Owner and has the following contact phone number (501) 847-2229.

The enumeration date for this NPI number is 9/17/2009 and was last updated on 9/17/2009.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1102L00000XPsychoanalystP9903009ARKANSASNo
2101YM0800XCounselorMental HealthP9903009ARKANSASYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1142495019MEDICAIDALABAMA

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

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