Noel, Larry Dewayne

Noel, Larry Dewayne is an individual health care provider with primary practice located at 7000 N State Line Ave , Texarkana AR 71854-8100. 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. Noel, Larry Dewayne can be contacted via phone (870) 774-1315.

Contact Information

Primary practice address
7000 N State Line Ave Texarkana AR 71854-8100
Phone: (870) 774-1315
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1396382859
LBN Legal business name Noel, Larry Dewayne
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 4th, 2019
Last updated Dec 4th, 2019 - about 7 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.

Request for update

Popular Providers