Tracy R Mitchell
Individual provider Active NPI Day Training/Habilitation Specialist · Sherwood, AR
NPI 1295409381 · NPPES record last updated Aug 3, 2021
Key facts
- NPI
- 1295409381
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Day Training/Habilitation Specialist 373H00000X
- Practice address
- 1540 Country Club Rd
Sherwood, AR 72120-5095 - Phone
- (501) 753-5459
- NPI assigned
- Aug 3, 2021
- 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 |
|---|---|---|---|---|
| Day Training/Habilitation Specialist | 373H00000X | AR | Yes |
Addresses
Primary practice location
1540 Country Club Rd
Sherwood, AR 72120-5095
Mailing address
1540 Country Club Rd
Sherwood, AR 72120-5095
Phone (501) 753-5459
Other providers in Sherwood, AR
- Talesa Monique Miller
- Tiara L Miller
- Corey Mills
- Maggie Mills
- Donald C Mitchell
- Brigette A Mocan
- Momentum Therapeutic Services
- Caroline Louise Montague
- Holly Ann Montgomery
- Amanda Leigh Moore
All providers in Sherwood, AR · Day Training/Habilitation Specialist in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 3, 2021. 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.