Petty, Terri L.

Petty, Terri L. is an individual health care provider with primary practice located at 125 Wellness Way , Hot Springs AR 71913. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Petty, Terri L. can be contacted via phone (501) 624-7111.

Contact Information

Primary practice address
125 Wellness Way Hot Springs AR 71913
Phone: (501) 624-7111
Fax: (501) 620-5109
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X P9807015 Arkansas

Profile Details

NPI number 1316924350
LBN Legal business name Petty, Terri L.
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 30th, 2005
Last updated Jul 5th, 2018 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316924350 NPPES
Arkansas MEDICAID 116399726
Arkansas Other 222090
Arkansas Other 5X327
Arkansas Other 2159301
Arkansas Other 3070018000
Arkansas Other 3509001000
Arkansas Other 216631
Arkansas Other 60054
Arkansas Other 71-0401764
Arkansas Other 562340

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