Paul-Tucker, Gessie
Paul-Tucker, Gessie is an individual health care provider with primary practice located at 1615 Martin Luther King Blvd , Malvern AR 72104. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Paul-Tucker, Gessie can be contacted via phone (501) 332-5236.Contact Information
Primary practice address
1615 Martin Luther King Blvd
Malvern AR 72104
Phone: (501) 332-5236
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | P1702240 | Arkansas |
Profile Details
| NPI number | 1144498981 |
|---|---|
| LBN Legal business name | Paul-Tucker, Gessie |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 14th, 2008 |
| Last updated | Jul 1st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1144498981 | NPPES |
| Arkansas | MEDICAID | 227124719 |
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