Taylor Bogle
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Fort Smith, AR
NPI 1376974931 · NPPES record last updated Dec 9, 2013
Key facts
- NPI
- 1376974931
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- Practice address
- South 70TH St
Fort Smith, AR 72903 - Phone
- (479) 478-6664
- NPI assigned
- Dec 9, 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Yes |
Addresses
Primary practice location
South 70TH St
Fort Smith, AR 72903
Mailing address
South 70TH St
Fort Smith, AR 72903
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All providers in Fort Smith, AR · Addiction (Substance Use Disorder) Counselor in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 9, 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.