Mabry, Scott Aaron
Mabry, Scott Aaron is an individual health care provider with primary practice located at 2304 W 29Th Ave , Pine Bluff AR 71603-5005. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Mabry, Scott Aaron can be contacted via phone (870) 247-5222.Contact Information
Primary practice address
2304 W 29Th Ave
Pine Bluff AR 71603-5005
Phone: (870) 247-5222
Fax: (870) 671-4847
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 1299 | Arkansas |
Profile Details
| NPI number | 1225422561 |
|---|---|
| LBN Legal business name | Mabry, Scott Aaron |
| Credentials | CADC, CCS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 25th, 2015 |
| Last updated | Mar 25th, 2015 - 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 | 1225422561 | NPPES |
| Arkansas | MEDICAID | 206620740 |
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