DAMMICCAH ALSUP BA
NPI 1740661842
Counselor - Mental Health in Star City, AR

Active since June 15, 2015
612 E ARKANSAS ST, STAR CITY, AR 71667(870) 628-4181(870) 628-5369 Get Directions Write a Review

NPPES record last updated: June 16, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dammiccah Alsup Ba NPPES

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

DAMMICCAH ALSUP BA (NPI 1740661842) is an individual mental health provider in Star City, Arkansas and active in the NPI registry since June 2015.

NPPES Registry Identity

NPI1740661842
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameDAMMICCAH ALSUPCredential: BA
Location Address612 E ARKANSAS STStar City, AR 71667-4842
Mailing Address2500 Rike DrPine Bluff, AR 71603-3937 · (870) 534-1834 · Fax (870) 534-5798
Fax(870) 628-5369
Sole ProprietorNo
Enumeration DateJune 15, 2015
Last NPPES UpdateJune 16, 2015
NPI 1740661842 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
612 E ARKANSAS ST, Star City, AR 71667

Other Identifiers 1

Medicaid116378726AR

Other Providers at the Same Location NPPES 16

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

Counselor (Mental Health)
612 E ARKANSAS ST
STAR CITY, AR 71667
Counselor (Mental Health)
612 E ARKANSAS ST
STAR CITY, AR 71667
Counselor (Mental Health)
612 E ARKANSAS ST
STAR CITY, AR 71667
Community/Behavioral Health
612 E ARKANSAS ST
STAR CITY, AR 71667
Counselor (Mental Health)
612 E ARKANSAS ST
STAR CITY, AR 71667
Counselor (Mental Health)
612 E ARKANSAS ST
STAR CITY, AR 71667
Social Worker (Clinical)
612 E ARKANSAS ST
STAR CITY, AR 71667
Counselor (Mental Health)
612 E ARKANSAS ST
STAR CITY, AR 71667

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 Dammiccah Alsup's NPI number?

The NPI number for Dammiccah Alsup is 1740661842. It was assigned to this individual provider in the NPPES registry on June 15, 2015.

Where is Dammiccah Alsup located?

Dammiccah Alsup practices at 612 E Arkansas St, Star City, AR 71667. The listed phone number is (870) 628-4181.

What is Dammiccah Alsup'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 Dammiccah Alsup was last updated on June 16, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.