Shannon Rylee
Individual provider Active NPI Counselor · Lamar, AR
NPI 1174866321 · NPPES record last updated Apr 5, 2013
Key facts
- NPI
- 1174866321
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- 1000 E Main St
Lamar, AR 72846-7401 - Phone
- (479) 733-0400
- NPI assigned
- Apr 5, 2013
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Yes |
Addresses
Primary practice location
1000 E Main St
Lamar, AR 72846-7401
Mailing address
602 N Walton Blvd
Bentonville, AR 72712-4576
Phone (479) 464-1060
Other providers in Lamar, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 5, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.