MS. MAKEDRA O'SHUN IVY
NPI 1215079264
Counselor - Mental Health in Marion, AR

Active since February 13, 2007
210 MANOR STREET, MARION, AR 72364(870) 739-6818(870) 739-1970 Get Directions Write a Review

NPPES record last updated: July 25, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Makedra O'shun Ivy NPPES

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

MS. MAKEDRA O'SHUN IVY (NPI 1215079264) is an individual mental health provider in Marion, Arkansas and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1215079264
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. MAKEDRA O'SHUN IVY
Location Address210 MANOR STREETMarion, AR 72364-9522
Mailing Address1886 Wall St Apt 7Memphis, TN 38134-9621
Fax(870) 739-1970
Sole ProprietorNo
Enumeration DateFebruary 13, 2007
Last NPPES UpdateJuly 25, 2008
NPI 1215079264 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
210 MANOR STREET, Marion, AR 72364

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 Makedra Ivy's NPI number?

The NPI number for Makedra Ivy is 1215079264. It was assigned to this individual provider in the NPPES registry on February 13, 2007.

Where is Makedra Ivy located?

Makedra Ivy practices at 210 Manor Street, Marion, AR 72364. The listed phone number is (870) 739-6818.

What is Makedra Ivy's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Makedra Ivy was last updated on July 25, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.