SPENCER MCCULLOUGH LPC NPI 1851754972

NPI Information

NPI: 1851754972
Provider Name: SPENCER MCCULLOUGH, LPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
600 S TIMBERLANE DR
EL DORADO, AR
ZIP 71730
Phone: (870) 862-2400
Get Directions

Spencer Mccullough, LPC is a professional counselor in El Dorado, AR. Spencer Mccullough, LPC NPI is 1851754972. 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:

600 S TIMBERLANE DR
EL DORADO, AR
ZIP 71730-990
Phone: (870) 862-2400
Fax: (870) 862-1891

The enumeration date for this NPI number is 4/5/2016 and was last updated on 7/15/2019.

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	101YM0800X	Counselor	Mental Health	A1602028	ARKANSAS	No
2	101YP2500X	Counselor	Professional	P1710366	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	218243795	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: 4/28/2024

NPI Synchronization or Removal

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