Sprouse, Alexandra Elizabeth

Sprouse, Alexandra Elizabeth is an individual health care provider with primary practice located at 1101 Morgan St Suite 8, Paragould AR 72450-3949. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Sprouse, Alexandra Elizabeth can be contacted via phone (870) 335-9483.

Contact Information

Primary practice address
1101 Morgan St Suite 8 Paragould AR 72450-3949
Phone: (870) 335-9483
Fax: (870) 335-9487
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X
Behavioral Health & Social Service Providers / Professional 101YP2500X P1512132 Arkansas

Profile Details

NPI number 1346501327
LBN Legal business name Sprouse, Alexandra Elizabeth
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2012
Last updated May 8th, 2018 - about 8 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 1346501327 NPPES
Arkansas Other 5BX53 BCBS
Arkansas MEDICAID 192090795 BCBS

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