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
Phone: (501) 776-1191
Fax: (501) 776-1194
Website:
Health care specialties
| Specialty | Code | License # | 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 11 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 | 1417175159 | NPPES |
| Arkansas | Other | 5Y529 | BCBS |
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