Roberts, Halee Fawne
Roberts, Halee Fawne 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 / Clinical, which is considered as her primary health care specialty. Roberts, Halee Fawne 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:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 2168-C | Arkansas |
Profile Details
| NPI number | 1245428242 |
|---|---|
| LBN Legal business name | Roberts, Halee Fawne |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 4th, 2007 |
| Last updated | Mar 14th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245428242 | NPPES |
| Other | 1245428242 | MHN | |
| Other | 5A580 | MHN | |
| Other | 710401764 | MHN | |
| Other | 5A580 | MHN | |
| MEDICAID | 116399726 | MHN | |
| Other | 5A580 | MHN |
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