MAURY BRUTON MCCORD LAC NPI 1770769218

NPI Information

  • NPI: 1770769218
  • Provider Name: MAURY BRUTON MCCORD, LAC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 1127 SECOND ST
    LAKE VILLAGE, AR
    ZIP 71653
  • Phone: (870) 265-3808

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NPI Details

Maury Bruton Mccord, LAC is a mental health counselor in Lake Village, AR. Maury Bruton Mccord, LAC NPI is 1770769218. 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:

1127 SECOND ST
LAKE VILLAGE, AR
ZIP 71653-541
Phone: (870) 265-3808
Fax: (870) 265-2733

The enumeration date for this NPI number is 1/15/2008 and was last updated on 2/27/2009.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthA0901003ARKANSASYes

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
10018205MEDICAIDMISSISSIPPI

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: 11/21/2025

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