Stephens, Kimberly

Stephens, Kimberly is an individual health care provider with primary practice located at 2126 N 1St St Ste F , Jacksonville AR 72076-2868. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Stephens, Kimberly can be contacted via phone (501) 982-5000.

Contact Information

Primary practice address
2126 N 1St St Ste F Jacksonville AR 72076-2868
Phone: (501) 982-5000
Fax: (501) 982-5007
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X A0402009 Arkansas
Behavioral Health & Social Service Providers / Professional 101YP2500X P0709051 Arkansas

Profile Details

NPI number 1437212073
LBN Legal business name Stephens, Kimberly
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 18th, 2006
Last updated May 9th, 2018 - about 6 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 1437212073 NPPES
Arkansas MEDICAID 169115795
Arkansas Other 5A838

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