Penn, Nicola Marie

Penn, Nicola Marie is an sole proprietor health care provider with primary practice located at 548 N Central Ave , Batesville AR 72501-5405. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Penn, Nicola Marie can be contacted via phone (870) 793-7162.

Contact Information

Primary practice address
548 N Central Ave Batesville AR 72501-5405
Phone: (870) 793-7162
Fax: (870) 612-5173
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X P0405022 Arkansas
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X M0405001 Arkansas

Profile Details

NPI number 1215008842
LBN Legal business name Penn, Nicola Marie
Credentials LPC, LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 13th, 2006
Last updated Aug 22nd, 2011 - about 14 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 1215008842 NPPES
Arkansas Other 5X867 AR BLUE CROSS BLUE SHIEL

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