Gazaway, Kathy J

Gazaway, Kathy J is an sole proprietor health care provider with primary practice located at 2210 W. Kingshighway Suite 3, Paragould AR 72450. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Gazaway, Kathy J can be contacted via phone (870) 236-2265.

Contact Information

Primary practice address
2210 W. Kingshighway Suite 3 Paragould AR 72450
Fax: (870) 215-0772
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X P8803003 Arkansas

Profile Details

NPI number 1437175437
LBN Legal business name Gazaway, Kathy J
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 14th, 2006
Last updated Nov 14th, 2008 - about 18 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 1437175437 NPPES
Arkansas Other 5T388 BLUECROSS BLUESHIELD

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