Campbell, Sara Louise
Campbell, Sara Louise is an individual health care provider with primary practice located at 60 W Sunbridge Dr , Fayetteville AR 72703-1822. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Campbell, Sara Louise can be contacted via phone (479) 750-2020.Contact Information
Primary practice address
60 W Sunbridge Dr
Fayetteville AR 72703-1822
Phone: (479) 750-2020
Fax: (479) 750-4843
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Counselor | 101Y00000X | A1505071 | Arkansas |
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
Behavioral Health & Social Service Providers / Professional | 101YP2500X | P1709351 | Arkansas |
Profile Details
NPI number | 1508032160 |
---|---|
LBN Legal business name | Campbell, Sara Louise |
Credentials | Licensed Professional Counselor (LPC) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 5th, 2008 |
Last updated | Sep 26th, 2017 - about 8 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 | 1508032160 | NPPES |
Arkansas | Other | A1505071 | STATE LICENSE |
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