Linda Dyess, M.S., L.A.C.
Individual provider Active NPI Professional Counselor · Fordyce, AR
NPI 1700916434 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1700916434
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- A0309082 (AR)
- Practice address
- 1101 W 3Rd St
Fordyce, AR 71742-3014 - Phone
- (870) 352-5122
- Fax
- (870) 352-5127
- NPI assigned
- Mar 6, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A0309082 | AR | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BHC Pinnacle Pointe Hospital LLC | Past | Accepting new patients | |
| Fordyce Counseling Clinic, Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | A0309082 | AR | Yes |
Addresses
Primary practice location
1101 W 3Rd St
Fordyce, AR 71742-3014
Mailing address
1101 W 3Rd St
Fordyce, AR 71742-3014
Phone (870) 352-5122
Other providers in Fordyce, AR
- Brandy Meleia Dixon
- Woodrow Dixon
- Tasha Donahou
- Christie Dorrell
- Brenda Durey
- Lisa Easter
- George Elmer
- Ess of Fordyce LLC
- Adrienne Ezell
- Family Eyecare Center Inc
All providers in Fordyce, AR · Professional 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 Jul 8, 2007. 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.