Adams, Audrey Ann
Adams, Audrey Ann is an sole proprietor health care provider with primary practice located at 2508 Se 20Th St , Bentonville AR 72712-4008. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Adams, Audrey Ann can be contacted via phone (479) 750-2020.Contact Information
Primary practice address
2508 Se 20Th St
Bentonville AR 72712-4008
Phone: (479) 750-2020
Fax: (479) 872-2441
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 3018-C | Arkansas |
Profile Details
| NPI number | 1417042573 |
|---|---|
| LBN Legal business name | Adams, Audrey Ann |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 4th, 2006 |
| Last updated | Jun 7th, 2013 - about 11 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 | 1417042573 | NPPES |
| Arkansas | Other | 5X932 | AR BCBS |
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