Active NPI
Mustard Seed
- Mental Health Counselor
- Greenwood, AR
National Provider Identifier
1649010026
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- MUSTARD SEED
- Practice address
- 261 Azalea Dr
Greenwood, AR 72936-4998 - Phone
- (479) 459-6749
- NPI assigned
- May 31, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Holly Gilliam, LPC
- Title
- Therapist
- Phone
- (479) 459-6549
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
261 Azalea Dr
Greenwood, AR 72936-4998
Mailing address
261 Azalea Dr
Greenwood, AR 72936-4998
Phone (479) 459-6749
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717113600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1717113600000",
"number": "1649010026",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "261 AZALEA DR",
"city": "GREENWOOD",
"state": "AR",
"postal_code": "729364998",
"telephone_number": "479-459-6749"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "261 AZALEA DR",
"city": "GREENWOOD",
"state": "AR",
"postal_code": "729364998",
"telephone_number": "479-459-6749"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MUSTARD SEED",
"organizational_subpart": "NO",
"enumeration_date": "2024-05-31",
"last_updated": "2024-05-31",
"certification_date": "2024-05-31",
"status": "A",
"authorized_official_last_name": "GILLIAM",
"authorized_official_first_name": "HOLLY",
"authorized_official_title_or_position": "THERAPIST",
"authorized_official_telephone_number": "479-459-6549",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenwood, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.