MS. SANDY GRAYSON LPE
NPI 1609990621
Counselor - Professional in Benton, AR
Active since March 16, 2007
About Ms. Sandy Grayson Lpe NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. SANDY GRAYSON LPE (NPI 1609990621) is an individual professional provider in Benton, Arkansas, licensed in Arkansas (91-22E) and active in the NPI registry since March 2007.
NPPES Registry Identity
NPI1609990621
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMS. SANDY GRAYSONCredential: LPE
Location Address100 RIVENDELL DRBenton, AR 72015-9188
Mailing Address100 Rivendell DrBenton, AR 72015-9188 · (501) 316-1255
Phone(501) 316-1255
Sole ProprietorNo
Enumeration DateMarch 16, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1609990621 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in AR · 91-22E
100 RIVENDELL DR, Benton, AR 72015
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1609990621, enumerated as an "individual" on March 16, 2007.
The provider is located at 100 RIVENDELL DR BENTON, AR 72015 and the phone number is (501) 316-1255.
Counselor with taxonomy code 101YP2500X and a focus in Professional.