Conner, Garrick Dewayne
Conner, Garrick Dewayne is an sole proprietor health care provider with primary practice located at 209 Roya Lane, Ste. 4 , Bryant AR 72022-7211. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Conner, Garrick Dewayne can be contacted via phone (501) 551-4144.Contact Information
Primary practice address
209 Roya Lane, Ste. 4
Bryant AR 72022-7211
Phone: (501) 551-4144
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Professional | 101YP2500X | P1308092 | Arkansas |
Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | M1308044 | Arkansas |
Profile Details
NPI number | 1568131076 |
---|---|
LBN Legal business name | Conner, Garrick Dewayne |
Credentials | MA, LPC, LMFT |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Sep 8th, 2021 |
Last updated | Sep 8th, 2021 - 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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