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PERCILLA COTHREN LAC
NPI 1649008350
Counselor - Mental Health in Bentonville, AR

Active since July 24, 2024
2618 SE J ST STE 12, BENTONVILLE, AR 72712(479) 367-2866(479) 367-2868 Get Directions Write a Review

NPPES record last updated: July 24, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Percilla Cothren Lac NPPES

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

PERCILLA COTHREN LAC (NPI 1649008350) is an individual mental health provider in Bentonville, Arkansas, licensed in Arkansas (A2406013) and active in the NPI registry since July 2024.

NPPES Registry Identity

NPI1649008350
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NamePERCILLA COTHRENCredential: LAC
Location Address2618 SE J ST STE 12Bentonville, AR 72712-3857
Mailing Address2618 Se J St Ste 12Bentonville, AR 72712-3857 · (479) 367-2866 · Fax (479) 367-2868
Phone(479) 367-2866
Fax(479) 367-2868
Sole ProprietorNo
Enumeration DateJuly 24, 2024
NPPES CertifiedJuly 24, 2024
✔ NPI 1649008350 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 · A2406013
2618 SE J ST STE 12, Bentonville, AR 72712
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Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SAMANTHA A SHEPHERD APN
Nurse Practitioner (Gerontology)
2618 SE J ST STE 12
BENTONVILLE, AR 72712
Benton County (479) 715-6505
JADE NOBLE QBHP
Case Manager/Care Coordinator
2618 SE J ST STE 12
BENTONVILLE, AR 72712
Benton County (479) 367-2866
KYLIE WATKINS PLMSW
Social Worker
2618 SE J ST STE 12
BENTONVILLE, AR 72712
Benton County (479) 367-2866
GRACIE FURR QBHP
Case Manager/Care Coordinator
2618 SE J ST STE 12
BENTONVILLE, AR 72712
Benton County (479) 367-2866
SUSANA SANDOVAL LMSW
Social Worker
2618 SE J ST STE 12
BENTONVILLE, AR 72712
Benton County (479) 367-2866

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 Percilla Cothren's NPI number?

The NPI number for Percilla Cothren is 1649008350. It was assigned to this individual provider in the NPPES registry on July 24, 2024.

Where is Percilla Cothren located?

Percilla Cothren practices at 2618 SE J St Ste 12, Bentonville, AR 72712. The listed phone number is (479) 367-2866.

What is Percilla Cothren'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 Percilla Cothren was last updated on July 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.