Mccollough, Peter

Mccollough, Peter is an sole proprietor health care provider with primary practice located at 6836 Isaac'S Orchard Rd , Springdale AR 72762. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Behavior Technician is his primary health care specialty. Mccollough, Peter can be contacted via phone (479) 927-4100.

Contact Information

Primary practice address
6836 Isaac'S Orchard Rd Springdale AR 72762
Phone: (479) 927-4100
Fax: (479) 927-1373
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X Arkansas

Profile Details

NPI number 1477141489
LBN Legal business name Mccollough, Peter
Credentials QBHP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 5th, 2021
Last updated Dec 20th, 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 1477141489 NPPES
Arkansas MEDICAID 307022706

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