White, Kayla Donese
White, Kayla Donese is an sole proprietor health care provider with primary practice located at 3425 N Futrall Dr , Fayetteville AR 72703-4811. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. White, Kayla Donese can be contacted via phone (479) 713-8350.Contact Information
Primary practice address
3425 N Futrall Dr
Fayetteville AR 72703-4811
Phone: (479) 713-8350
Fax: (479) 713-8375
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 7575-C | Arkansas |
Profile Details
| NPI number | 1760752042 |
|---|---|
| LBN Legal business name | White, Kayla Donese |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 4th, 2012 |
| Last updated | Jun 6th, 2022 - about 2 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 | 1760752042 | NPPES |
| Arkansas | MEDICAID | 189742721 |
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