Galloway, Stephanie L

Galloway, Stephanie L is an individual health care provider with primary practice located at 1719 Merrill Dr , Little Rock AR 72212. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Galloway, Stephanie L can be contacted via phone (501) 663-2199.

Contact Information

Primary practice address
1719 Merrill Dr Little Rock AR 72212
Phone: (501) 663-2199
Fax: (501) 663-2234
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 6684-B Arkansas
Behavioral Health & Social Service Providers / Clinical 1041C0700X 6684-C Arkansas

Profile Details

NPI number 1962855676
LBN Legal business name Galloway, Stephanie L
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2016
Last updated Jan 12th, 2023 - about 3 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 1962855676 NPPES
Arkansas MEDICAID 1962855676

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