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HOLLY SKINNER LLC NPI 1083117782


NPI Information

NPI: 1083117782
Provider Name: HOLLY SKINNER LLC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
1 W SUNBRIDGE DR
FAYETTEVILLE, AR
ZIP 72703
Phone: (479) 443-5575
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HOLLY SKINNER LLC is a mental health counselor in Fayetteville, AR. HOLLY SKINNER LLC NPI is 1083117782. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1 W SUNBRIDGE DR
FAYETTEVILLE, AR
ZIP 72703-825
Phone: (479) 443-5575

The provider's authorized official is Holly Skinner .
The authorized official title is Licensed Professional Counselor and has the following contact phone number (417) 894-9832.

The enumeration date for this NPI number is 3/9/2018 and was last updated on 3/9/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthP1801008ARKANSASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11437589777OTHERNPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024
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