Kathy Q. Jordan, Lcsw, Llc

LBN: Kathy Q. Jordan, Llc
Kathy Q. Jordan, Lcsw, Llc is an health care organization with primary practice located at 1 W Sunbridge Dr , Fayetteville AR 72703-1825. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Kathy Q. Jordan, Llc can be contacted via phone (479) 443-5575, or through Jordan, Kathy Quarles via phone (479) 443-5575.

Contact Information

Primary practice address
1 W Sunbridge Dr Fayetteville AR 72703-1825
Phone: (479) 443-5575
Fax: (479) 443-9554
Website:
Map and Directions
Authorized official contact:
Name: Jordan, Kathy Quarles Licensed Clinical Social Worker (LCSW)
Phone: (479) 443-5575

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 1573-C Arkansas

Profile Details

NPI number 1467734400
LBN Legal business name Kathy Q. Jordan, Llc
DBA Doing business as Kathy Q. Jordan, Lcsw, Llc
Authorized official Jordan, Kathy Quarles Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 15th, 2011
Last updated Sep 15th, 2011 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467734400 NPPES
Other 1881623197 INDIVIDUAL NPI

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