CHRISTOPHER NIELSEN LAC
NPI 1396280061
Counselor - Mental Health in Conway, AR

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

Active since January 04, 2017

2215 E OAK ST STE 1, CONWAY, AR 72032(501) 336-0511(501) 336-4037 Get Directions Write a Review

NPPES record last updated: August 13, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 13, 2018, Jan 4, 2017 (2 updates tracked since 2017).

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About Christopher Nielsen Lac NPPES

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

CHRISTOPHER NIELSEN LAC (NPI 1396280061) is an individual mental health provider in Conway, Arkansas, licensed in Arkansas (A1609117) and active in the NPI registry since January 2017.

NPPES Registry Identity

NPI1396280061

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameCHRISTOPHER NIELSENCredential: LAC

Location Address2215 E OAK ST STE 1Conway, AR 72032

Mailing Address2215 E Oak St Ste 1Conway, AR 72032-4644 · (501) 336-0511 · Fax (501) 336-4037

Phone(501) 336-0511

Fax(501) 336-4037

Sole ProprietorNo

Enumeration DateJanuary 4, 2017

Last NPPES UpdateAugust 13, 20182 updates tracked since enumeration

✔ NPI 1396280061 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in AR · A1609117

2215 E OAK ST STE 1, Conway, AR 72032

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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.

CAMERIA BLAKE MHPP

Case Manager/Care Coordinator