Landrum, Alicia

Landrum, Alicia is an individual health care provider with primary practice located at 4224 Shuffield Dr , Little Rock AR 72205-7211. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Professional, Other Service Providers / Case Manager/Care Coordinator. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Landrum, Alicia can be contacted via phone (501) 526-8200.

Contact Information

Primary practice address
4224 Shuffield Dr Little Rock AR 72205-7211
Phone: (501) 526-8200
Fax: (501) 526-5296
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X A1504062 Arkansas
Behavioral Health & Social Service Providers / Professional 101YP2500X P1807088 Arkansas
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1245454347
LBN Legal business name Landrum, Alicia
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 12th, 2007
Last updated Feb 14th, 2024 - about 10 months 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 1245454347 NPPES
Arkansas MEDICAID 236661719

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