Needham-Puckett, Laura

Needham-Puckett, Laura is an individual health care provider with primary practice located at 1815 Pleasant Grove Road , Jonesboro AR 72405-7870. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Needham-Puckett, Laura can be contacted via phone (870) 933-6886.

Contact Information

Primary practice address
1815 Pleasant Grove Road Jonesboro AR 72405-7870
Phone: (870) 933-6886
Fax: (870) 933-9395
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X P0305019 Arkansas
Behavioral Health & Social Service Providers / Psychologist 103T00000X 11-14E Arkansas

Profile Details

NPI number 1174645626
LBN Legal business name Needham-Puckett, Laura
Credentials LPC, LPE (NON-INDEPE
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 4th, 2007
Last updated Aug 17th, 2020 - about 4 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 1174645626 NPPES
Arkansas Other 5R806 BCBS
Arkansas MEDICAID 178956795 BCBS

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