White, Randy Keith

White, Randy Keith is an individual health care provider with primary practice located at 2904 Arkansas Blvd , Texarkana AR 71854-2536. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. White, Randy Keith can be contacted via phone (870) 773-4655.

Contact Information

Primary practice address
2904 Arkansas Blvd Texarkana AR 71854-2536
Phone: (870) 773-4655
Fax: (870) 772-4650
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X P0603014 Arkansas
Behavioral Health & Social Service Providers / Social Worker 104100000X 1269-B Arkansas

Profile Details

NPI number 1689633778
LBN Legal business name White, Randy Keith
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2006
Last updated Jul 8th, 2007 - about 19 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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