Everett, Leah Dawn

Everett, Leah Dawn is an sole proprietor health care provider with primary practice located at 1905 Linwood Dr Ste 2 , Paragould AR 72450-6235. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Everett, Leah Dawn can be contacted via phone (870) 637-0472.

Contact Information

Primary practice address
1905 Linwood Dr Ste 2 Paragould AR 72450-6235
Fax: (870) 292-3555
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X P1112099 Arkansas

Profile Details

NPI number 1871709923
LBN Legal business name Everett, Leah Dawn
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 15th, 2007
Last updated Jun 11th, 2019 - about 7 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871709923 NPPES
Arkansas Other 5V987 BCBS
Arkansas MEDICAID 173613795 BCBS

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