BRACK R PONDEXTER
NPI 1750690194
Counselor in Texarkana, AR
- Individual
- Male
- Counselor
About BRACK PONDEXTER
This page provides the complete NPI Profile along with additional information for Brack Pondexter, a provider established in Texarkana, Arkansas with a medical specialization in Counselor. The healthcare provider is registered in the NPI registry with number 1750690194 assigned on October 2010. The practitioner's primary taxonomy code is 101Y00000X. The provider is registered as an individual and his NPI record was last updated 16 years ago.
- NPI
- 1750690194 Verify this NPI
- Provider Name
- BRACK R PONDEXTER
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 4323 JEFFERSON AVE TEXARKANA, AR 71854
- Location Phone
- (870) 773-0700
- Location Fax
- (870) 773-0705
- Mailing Address
- 5537 BLEAUX AVE SPRINGDALE, AR 72762
- Mailing Phone
- (479) 872-5580
- Mailing Fax
- (479) 872-5581
- Is Sole Proprietor?
- No
- Enumeration Date
- 10-04-2010
- Last Update Date
- 10-04-2010
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor
- Taxonomy Code
- 101Y00000X
- Type
- Behavioral Health & Social Service Providers
- Taxonomy Description
- A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
TEXARKANA, AR 71854
TEXARKANA, AR 71854
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1750690194, enumerated as an "individual" on October 04, 2010.
The provider is located at 4323 JEFFERSON AVE TEXARKANA, AR 71854 and the phone number is (870) 773-0700.
Counselor with taxonomy code 101Y00000X.
