Mitrani, Nicholas

Mitrani, Nicholas is an individual health care provider with primary practice located at 4206 Prince Street , Conway AR 72034-9398. He recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Mitrani, Nicholas can be contacted via phone (501) 932-0255.

Contact Information

Primary practice address
4206 Prince Street Conway AR 72034-9398
Phone: (501) 932-0255
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 18-22P Arkansas
Behavioral Health & Social Service Providers / Counseling 103TC1900X 18-22P Arkansas
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 18-22P Arkansas
Behavioral Health & Social Service Providers / Clinical 103TC0700X 18-22P Arkansas

Profile Details

NPI number 1629426770
LBN Legal business name Mitrani, Nicholas
Credentials LPE-I
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2016
Last updated Jul 24th, 2019 - about 6 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 1629426770 NPPES
Arkansas MEDICAID 232944719

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