1497726236 NPI number — TINA W EMBRY LPC

Table of content: TINA W EMBRY LPC (NPI 1497726236)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1497726236 NPI number — TINA W EMBRY LPC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
EMBRY
Provider First Name:
TINA
Provider Middle Name:
W
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
LPC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1497726236
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/02/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
625 CLIFTON ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CAMDEN
Provider Business Mailing Address State Name:
AR
Provider Business Mailing Address Postal Code:
71701-3327
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
870-836-9362
Provider Business Mailing Address Fax Number:
870-836-9363

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
625 CLIFTON ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CAMDEN
Provider Business Practice Location Address State Name:
AR
Provider Business Practice Location Address Postal Code:
71701-3327
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
870-836-9362
Provider Business Practice Location Address Fax Number:
870-836-9363
Provider Enumeration Date:
01/30/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YP2500X , with the licence number:  P0207029 , registered in the state of AR ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 302413 . This is a "MHN NETWORK NUMBER" identifier , issued by the state of ( AR ) . This identifiers is of the category "OTHER".
  • Identifier: 5W957 . This is a "BLUE CROSS AND BLUE SHIEL" identifier , issued by the state of ( AR ) . This identifiers is of the category "OTHER".




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