Carpenter, Lisa Carol
Carpenter, Lisa Carol is an individual health care provider with primary practice located at 302 S Main St , Malvern AR 72104-3737. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Carpenter, Lisa Carol can be contacted via phone (501) 229-1515.Contact Information
Primary practice address
302 S Main St
Malvern AR 72104-3737
Phone: (501) 229-1515
Fax: (888) 337-2305
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | P09070043 | Arkansas |
Profile Details
| NPI number | 1679540413 |
|---|---|
| LBN Legal business name | Carpenter, Lisa Carol |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 1st, 2006 |
| Last updated | Jul 17th, 2024 - about 2 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 | 1679540413 | NPPES |
| Arkansas | MEDICAID | 116399726 |
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