DR. PORNTHIP CHALUNGSOOTH L.P.C.
NPI 1104911510
Counselor in Fayetteville, AR

Active since October 03, 2006
525 N. GARLAND AVE., FAYETTEVILLE, AR 72701(479) 575-5276(479) 575-7438 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Pornthip Chalungsooth L.p.c. NPPES

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

DR. PORNTHIP CHALUNGSOOTH L.P.C. (NPI 1104911510) is an individual counselor in Fayetteville, Arkansas, licensed in Arkansas (P9307012) and active in the NPI registry since October 2006.Information from the official NPPES registry record.

NPPES Registry Identity

NPI1104911510
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameDR. PORNTHIP CHALUNGSOOTHCredential: L.P.C.
Location Address525 N. GARLAND AVE.Fayetteville, AR 72701
Mailing Address1005 E. Rolling Hills Dr.Fayetteville, AR 72703 · (479) 582-1245
Fax(479) 575-7438
Sole ProprietorNo
Enumeration DateOctober 3, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1104911510 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 · P9307012
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.

525 N. GARLAND AVE., Fayetteville, AR 72701

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104911510, enumerated as an "individual" on October 03, 2006.

The provider is located at 525 N. GARLAND AVE. FAYETTEVILLE, AR 72701 and the phone number is (479) 575-5276.

Counselor with taxonomy code 101Y00000X.