Juola, Misty Leanne

Juola, Misty Leanne is an individual health care provider with primary practice located at 109 W South St. Aca, Benton AR 72015. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Juola, Misty Leanne can be contacted via phone (501) 776-1191.

Contact Information

Primary practice address
109 W South St. Aca Benton AR 72015
Fax: (501) 776-1194
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 01-21E Arkansas

Profile Details

NPI number 1417175159
LBN Legal business name Juola, Misty Leanne
Credentials LPE
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2007
Last updated Jun 17th, 2014 - about 10 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 1417175159 NPPES
Arkansas Other 5Y529 BCBS

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