Stacy Luster, MHPP

Individual provider Active NPI Mental Health Counselor · Arkadelphia, AR

NPI 1639328008 · NPPES record last updated Sep 10, 2008

Key facts

NPI
1639328008
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
Practice address
1008 Pine St
Arkadelphia, AR 71923-4919
Phone
(870) 230-8364
Fax
(870) 230-8381
NPI assigned
Sep 10, 2008
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Dayspring Behavioral Health Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X AR Yes

Addresses

Primary practice location

1008 Pine St
Arkadelphia, AR 71923-4919

Mailing address

5537 Bleaux Ave
Springdale, AR 72762-0737
Phone (479) 872-5580

Other providers in Arkadelphia, AR

All providers in Arkadelphia, AR · Mental Health Counselor in Arkansas

Sources for this page

Verify at the official NPI Registry.