Hennis, Alicyn Crystal Marie

Hennis, Alicyn Crystal Marie is an individual health care provider with primary practice located at 2400 S 48Th St , Springdale AR 72762-6683. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Hennis, Alicyn Crystal Marie can be contacted via phone (479) 750-2020.

Contact Information

Primary practice address
2400 S 48Th St Springdale AR 72762-6683
Phone: (479) 750-2020
Fax: (479) 750-4843
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X P0509058 Arkansas

Profile Details

NPI number 1487692992
LBN Legal business name Hennis, Alicyn Crystal Marie
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 4th, 2006
Last updated May 19th, 2016 - about 10 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 1487692992 NPPES
Arkansas Other 5Y579 BLUE SHIELD PROVIDER #

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