Allen, Clayton Edward

Allen, Clayton Edward is an sole proprietor health care provider with primary practice located at 315 W 6Th St , Mountain Home AR 72653. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Allen, Clayton Edward can be contacted via phone (870) 425-8642.

Contact Information

Primary practice address
315 W 6Th St Mountain Home AR 72653
Phone: (870) 425-8642
Fax: (870) 425-8652
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 3046C Arkansas

Profile Details

NPI number 1073647236
LBN Legal business name Allen, Clayton Edward
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 16th, 2007
Last updated Jul 20th, 2018 - about 7 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 1073647236 NPPES
Arkansas MEDICAID 160781526

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