Ketcheside, Tommy Rachel

Ketcheside, Tommy Rachel is an sole proprietor health care provider with primary practice located at 1104 N College St , Huntsville AR 72740-9672. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Technologists, Technicians & Other Technical Service Providers / Technician, Other. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Ketcheside, Tommy Rachel can be contacted via phone (479) 750-2020.

Contact Information

Primary practice address
1104 N College St Huntsville AR 72740-9672
Phone: (479) 750-2020
Fax: (479) 750-8967
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Technologists, Technicians & Other Technical Service Providers / Technician, Other 247200000X

Profile Details

NPI number 1992954663
LBN Legal business name Ketcheside, Tommy Rachel
Credentials MHPP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 17th, 2008
Last updated Aug 8th, 2014 - about 12 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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