Dawson, Larry Omar

Dawson, Larry Omar is an individual health care provider with primary practice located at 3201 W Keiser Ave , Osceola AR 72370-3467. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Dawson, Larry Omar can be contacted via phone (870) 622-0592.

Contact Information

Primary practice address
3201 W Keiser Ave Osceola AR 72370-3467
Phone: (870) 622-0592
Fax: (870) 622-0782
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X P1608116 Arkansas
Behavioral Health & Social Service Providers / Professional 101YP2500X P1608116 Arkansas

Profile Details

NPI number 1548412893
LBN Legal business name Dawson, Larry Omar
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2008
Last updated May 14th, 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 1548412893 NPPES
Arkansas MEDICAID 173314795
Arkansas Other 5CA75

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