Ezell, James

Ezell, James is an individual health care provider with primary practice located at 201 N 26Th St , Arkadelphia AR 71923. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Ezell, James can be contacted via phone (501) 624-7111.

Contact Information

Primary practice address
201 N 26Th St Arkadelphia AR 71923
Phone: (501) 624-7111
Fax: (501) 620-5109
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1295865947
LBN Legal business name Ezell, James
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 6th, 2007
Last updated Jun 12th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295865947 NPPES
Arkansas MEDICAID 173272795

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