GREGORY MICHAEL TANCIBOK LPC NPI 1831302439

NPI Information

NPI: 1831302439
Provider Name: GREGORY MICHAEL TANCIBOK, LPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
23 PARKCLIFF DR
HOLIDAY ISLAND, AR
ZIP 72631
Phone: (479) 363-6422
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Gregory Michael Tancibok, LPC is a professional counselor in Holiday Island, AR. Gregory Michael Tancibok, LPC NPI is 1831302439. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

23 PARKCLIFF DR
HOLIDAY ISLAND, AR
ZIP 72631-045
Phone: (479) 363-6422
Fax: (479) 363-6763

The enumeration date for this NPI number is 5/8/2007 and was last updated on 2/15/2023.

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	P2206022	ARKANSAS	Yes
2	101YP2500X	Counselor	Professional			No

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

NPI Synchronization or Removal

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