TRACY KENNEDY COUNSELING LLC NPI 1891411559

NPI Information

NPI: 1891411559
Provider Name: TRACY KENNEDY COUNSELING LLC
Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
1142 HIGHWAY 71 S STE C
MENA, AR
ZIP 71953
Phone: (479) 437-7967
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TRACY KENNEDY COUNSELING LLC is a professional counselor in Mena, AR. TRACY KENNEDY COUNSELING LLC NPI is 1891411559. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1142 HIGHWAY 71 S STE C
MENA, AR
ZIP 71953-078
Phone: (479) 437-7967

The provider's authorized official is Tracy Kennedy .
The authorized official title is Owner and has the following contact phone number (479) 216-4262.

The enumeration date for this NPI number is 10/14/2022 and was last updated on 10/14/2022.

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	101YA0400X	Counselor	Addiction (Substance Use Disorder)			No
2	101YP2500X	Counselor	Professional			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: 5/5/2024

NPI Synchronization or Removal

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