GABRIELLA PERRY LAC
NPI 1164130225
Counselor - Mental Health in Bentonville, AR
Active since November 08, 2022
About Gabriella Perry Lac NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GABRIELLA PERRY LAC (NPI 1164130225) is an individual mental health provider in Bentonville, Arkansas and active in the NPI registry since November 2022.
NPPES Registry Identity
NPI1164130225
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameGABRIELLA PERRYCredential: LAC
Location Address2713 SE I ST STE 5Bentonville, AR 72712-0078
Mailing Address2713 Se I St Ste 5Bentonville, AR 72712-0078 · (479) 250-4355 · Fax (479) 553-7954
Phone(479) 250-4355
Fax(479) 553-7954
Sole ProprietorYes
Enumeration DateNovember 8, 2022
NPPES CertifiedNovember 8, 2022
✔ NPI 1164130225 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
2713 SE I ST STE 5, Bentonville, AR 72712
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1164130225, enumerated as an "individual" on November 08, 2022.
The provider is located at 2713 SE I ST STE 5 BENTONVILLE, AR 72712 and the phone number is (479) 250-4355.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.