Thaxton-Smith, Lourene Pike
Thaxton-Smith, Lourene Pike is an individual health care provider with primary practice located at 829 Halbert St , Malvern AR 72104-2607. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Thaxton-Smith, Lourene Pike can be contacted via phone (501) 332-4400.Contact Information
Primary practice address
829 Halbert St
Malvern AR 72104-2607
Phone: (501) 332-4400
Fax: (501) 332-4403
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | P1609130 | Arkansas |
Profile Details
| NPI number | 1952661530 |
|---|---|
| LBN Legal business name | Thaxton-Smith, Lourene Pike |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 17th, 2012 |
| Last updated | Sep 29th, 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 | 1952661530 | NPPES |
| Arkansas | MEDICAID | 1952661530 |
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