MS. WANDENA LASHA' HICKS MHPP
NPI 1407005580
Counselor - Mental Health in El Dorado, AR
Active since September 15, 2008
About Ms. Wandena Lasha' Hicks Mhpp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. WANDENA LASHA' HICKS MHPP (NPI 1407005580) is an individual mental health provider in El Dorado, Arkansas and active in the NPI registry since September 2008.
NPPES Registry Identity
NPI1407005580
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. WANDENA LASHA' HICKSCredential: MHPP
Location Address412 N WASHINGTON AVEEl Dorado, AR 71730-5616
Mailing Address5537 Bleaux AveSpringdale, AR 72762-0737 · (479) 872-5580 · Fax (479) 872-5581
Phone(870) 863-4611
Fax(870) 863-4962
Sole ProprietorNo
Enumeration DateSeptember 15, 2008
✔ NPI 1407005580 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
412 N WASHINGTON AVE, El Dorado, AR 71730
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.
Community/Behavioral Health
412 N WASHINGTON AVE
EL DORADO, AR 71730
EL DORADO, AR 71730
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1407005580, enumerated as an "individual" on September 15, 2008.
The provider is located at 412 N WASHINGTON AVE EL DORADO, AR 71730 and the phone number is (870) 863-4611.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.