Zachary D Austin, LMFT

Individual provider Active NPI Marriage & Family Therapist · Fayetteville, AR

NPI 1992118681 · NPPES record last updated Jul 21, 2022

Key facts

NPI
1992118681
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
M1706021 (AR)
Practice address
60 W Sunbridge Dr
Fayetteville, AR 72703-1822
Phone
(479) 695-1240
Fax
(479) 750-4843
NPI assigned
Jun 10, 2014
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

LicenseStateTypeSpecialty
M1706021ARMDMarriage & Family Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Marriage & Family Therapist 106H00000X M1706021 AR Yes

Addresses

Primary practice location

60 W Sunbridge Dr
Fayetteville, AR 72703-1822

Mailing address

2400 S 48TH St
Springdale, AR 72762-6683
Phone (479) 750-2020

Other providers in Fayetteville, AR

All providers in Fayetteville, AR · Marriage & Family Therapist in Arkansas

Sources for this page

Verify at the official NPI Registry.