Bobby Wayne Adkison, LAC
Individual provider Active NPI Mental Health Counselor · Harrison, AR
NPI 1659653152 · NPPES record last updated Sep 12, 2011
Key facts
- NPI
- 1659653152
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- A1105050 (AR)
- Practice address
- 317 W Industrial Park Rd
Harrison, AR 72601-6804 - Phone
- (870) 741-2960
- Fax
- (870) 741-2965
- NPI assigned
- Sep 12, 2011
- Sex
- Male
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A1105050 | AR | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | A1105050 | AR | Yes |
Addresses
Primary practice location
317 W Industrial Park Rd
Harrison, AR 72601-6804
Mailing address
317 W Industrial Park Rd
Harrison, AR 72601-6804
Phone (870) 741-2960
Other providers in Harrison, AR
- Abilities Pediatric PLLC
- Henry Deguzman Adamos
- Remedios Magtoto Adamos
- Christopher Luke Adams
- Addus Health Care Inc
- Advanced Orthopaedic Specialists, PLC
- Air Evac EMS Inc
- Abraham Akel Jr.
- Alco Pharmacy Inc
- Samuel Alexander
All providers in Harrison, AR · Mental Health 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 Sep 12, 2011. 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.