JUSTIN PRENTIS ARNOLD MAMFC, LPC-S
NPI 1437772613
Counselor - Professional in Longview, TX
Active since May 22, 2020
About Justin Prentis Arnold Mamfc, Lpc-s NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JUSTIN PRENTIS ARNOLD MAMFC, LPC-S (NPI 1437772613) is an individual professional provider in Longview, Texas, licensed in Texas (68187) and active in the NPI registry since May 2020.
NPPES Registry Identity
NPI1437772613
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameJUSTIN PRENTIS ARNOLDCredential: MAMFC, LPC-S
Location Address2137 GEORGE RICHEY RDLongview, TX 75604-9732
Mailing Address175 Timber Falls DrLongview, TX 75605-8288 · (469) 279-5551
Phone(903) 759-5552
Sole ProprietorYes
Enumeration DateMay 22, 2020
NPPES CertifiedMay 22, 2020
✔ NPI 1437772613 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses 4
★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in TX · 68187
Also ListedCounselorTaxonomy 101Y00000X · License 68187 (TX)
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 68187 (TX)
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 68187 (TX)
2137 GEORGE RICHEY RD, Longview, TX 75604
Other Identifiers 1
Other68187TX · Texas State Board Of Examiners Of Professional Counselors
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1437772613, enumerated as an "individual" on May 22, 2020.
The provider is located at 2137 GEORGE RICHEY RD LONGVIEW, TX 75604 and the phone number is (903) 759-5552.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
