Tolbert, Marious

Tolbert, Marious is an individual health care provider with primary practice located at 2500 Rike Dr , Pine Bluff AR 71603-3937. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Tolbert, Marious can be contacted via phone (870) 534-1834.

Contact Information

Primary practice address
2500 Rike Dr Pine Bluff AR 71603-3937
Fax: (870) 534-5798
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X A1910138 Arkansas
Behavioral Health & Social Service Providers / Professional 101YP2500X P2206023 Arkansas

Profile Details

NPI number 1083256820
LBN Legal business name Tolbert, Marious
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 14th, 2019
Last updated Aug 9th, 2022 - about 4 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 1083256820 NPPES
Arkansas MEDICAID 286158719

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