MRS. EYDIE NERISSA CANTRELL LPC
NPI 1073652400
Counselor in Mountain Home, AR

Active since February 05, 2007
18 COUNTY ROAD 458, CHILD AND YOUTH PEDIATRIC DAY CLINIC, MOUNTAIN HOME, AR 72653(870) 425-5252(870) 425-5254 Get Directions Write a Review

NPPES record last updated: September 3, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Eydie Nerissa Cantrell Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. EYDIE NERISSA CANTRELL LPC (NPI 1073652400) is an individual counselor in Mountain Home, Arkansas, licensed in Arkansas (A0607043) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1073652400
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameMRS. EYDIE NERISSA CANTRELLCredential: LPC
Location Address18 COUNTY ROAD 458, CHILD AND YOUTH PEDIATRIC DAY CLINICMountain Home, AR 72653-8212
Mailing Address18 County Road 458Mountain Home, AR 72653-8212 · (870) 425-5252
Fax(870) 425-5254
Sole ProprietorYes
Enumeration DateFebruary 5, 2007
Last NPPES UpdateSeptember 3, 2009
NPI 1073652400 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License Licensed in AR · A0607043
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
18 COUNTY ROAD 458, Mountain Home, AR 72653

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Day Training/Habilitation Specialist
18 COUNTY ROAD 458
MOUNTAIN HOME, AR 72653
Counselor (Mental Health)
18 COUNTY ROAD 458
MOUNTAIN HOME, AR 72653
Day Training/Habilitation Specialist
18 COUNTY ROAD 458
MOUNTAIN HOME, AR 72653
Day Training/Habilitation Specialist
18 COUNTY ROAD 458
MOUNTAIN HOME, AR 72653
Case Manager/Care Coordinator
18 COUNTY ROAD 458
MOUNTAIN HOME, AR 72653
Day Training/Habilitation Specialist
18 COUNTY ROAD 458
MOUNTAIN HOME, AR 72653
Day Training/Habilitation Specialist
18 COUNTY ROAD 458
MOUNTAIN HOME, AR 72653
Day Training/Habilitation Specialist
18 COUNTY ROAD 458
MOUNTAIN HOME, AR 72653

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eydie Cantrell's NPI number?

The NPI number for Eydie Cantrell is 1073652400. It was assigned to this individual provider in the NPPES registry on February 5, 2007.

Where is Eydie Cantrell located?

Eydie Cantrell practices at 18 County Road 458 Child And Youth Pediatric Day Clinic, Mountain Home, AR 72653. The listed phone number is (870) 425-5252.

What is Eydie Cantrell's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Eydie Cantrell was last updated on September 3, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.