Bearden, Theresa
Bearden, Theresa is an individual health care provider with primary practice located at 2215 E Oak St Ste 1 , Conway AR 72032-4644. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Bearden, Theresa can be contacted via phone (501) 336-0511.Contact Information
Primary practice address
2215 E Oak St Ste 1
Conway AR 72032-4644
Phone: (501) 336-0511
Fax: (501) 336-4037
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X |
Profile Details
| NPI number | 1205217189 |
|---|---|
| LBN Legal business name | Bearden, Theresa |
| Credentials | LMSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 16th, 2015 |
| Last updated | Feb 7th, 2018 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205217189 | NPPES |
| Arkansas | MEDICAID | 116378726 |
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