TRACY TULLOS SOUTHERN THERAPY SPECIALISTS
NPI 1114394285
Social Worker - Clinical in Russellville, AR

Active since August 25, 2015
701 E MAIN ST, SUITE 2, RUSSELLVILLE, AR 72801(479) 576-2799 Get Directions Write a Review

NPPES record last updated: October 28, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tracy Tullos Southern Therapy Specialists NPPES

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

TRACY TULLOS SOUTHERN THERAPY SPECIALISTS (NPI 1114394285) is a healthcare organization registered as a clinical in Russellville, Arkansas and active in the NPI registry since August 2015. The organization lists Tracy Tullos, Owner, as its authorized official.

NPPES Registry Identity

NPI1114394285
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameTRACY TULLOS SOUTHERN THERAPY SPECIALISTS
Location Address701 E MAIN ST, SUITE 2Russellville, AR 72801-5247
Mailing AddressPo Box 9178Russellville, AR 72811-9178 · (479) 498-6750 · Fax (479) 968-1673
Organization SubpartNo
Authorized OfficialTracy TullosOwner · (479) 576-2799
Enumeration DateAugust 25, 2015
Last NPPES UpdateOctober 28, 2015
NPI 1114394285 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
701 E MAIN ST, Russellville, AR 72801

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

Community/Behavioral Health
701 E MAIN ST, SUITE 3
RUSSELLVILLE, AR 72801
Social Worker (Clinical)
701 E MAIN ST, SUITE 10
RUSSELLVILLE, AR 72801
Social Worker (Clinical)
701 E MAIN ST, SUITE 2
RUSSELLVILLE, AR 72801

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 Tracy Tullos Southern Therapy Specialists's NPI number?

The NPI number for Tracy Tullos Southern Therapy Specialists is 1114394285. It was assigned to this organization in the NPPES registry on August 25, 2015.

Where is Tracy Tullos Southern Therapy Specialists located?

Tracy Tullos Southern Therapy Specialists is located at 701 E Main St Suite 2, Russellville, AR 72801. The listed phone number is (479) 576-2799.

What is Tracy Tullos Southern Therapy Specialists's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Tracy Tullos Southern Therapy Specialists was last updated on October 28, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.