Hailey Thomas
Individual provider Active NPI Counselor · Bentonville, AR
NPI 1699157271 · NPPES record last updated Jun 19, 2015
Key facts
- NPI
- 1699157271
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- 602 N Walton Blvd
Bentonville, AR 72712-4576 - Phone
- (479) 464-1060
- NPI assigned
- Jun 19, 2015
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | Yes |
Addresses
Primary practice location
602 N Walton Blvd
Bentonville, AR 72712-4576
Mailing address
315 W 6TH St
Mountain Home, AR 72653-3509
Phone (870) 425-8642
Other providers in Bentonville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 19, 2015. 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.