Mccready, Melissa Jo
Mccready, Melissa Jo is an sole proprietor health care provider with primary practice located at 829 Halbert St , Malvern AR 72104-2607. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Mccready, Melissa Jo can be contacted via phone (501) 332-4400.Contact Information
Primary practice address
829 Halbert St
Malvern AR 72104-2607
Phone: (501) 332-4400
Fax: (870) 246-4184
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 06-11EI | Arkansas |
Profile Details
| NPI number | 1407029606 |
|---|---|
| LBN Legal business name | Mccready, Melissa Jo |
| Credentials | LPE-I |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 8th, 2008 |
| Last updated | Jul 12th, 2024 - about last year |
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 | 1407029606 | NPPES |
| Arkansas | MEDICAID | 227955719 |
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