NICOLETTE RAE EARLES LAC
NPI 1912139197
Counselor - Mental Health in Fayetteville, AR

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

Active since August 20, 2009

60 W SUNBRIDGE DR, FAYETTEVILLE, AR 72703(479) 695-1240(479) 750-4843 Get Directions Write a Review

NPPES record last updated: January 4, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Nicolette Rae Earles Lac NPPES

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

NICOLETTE RAE EARLES LAC (NPI 1912139197) is an individual mental health provider in Fayetteville, Arkansas, licensed in Arkansas (A1510136) and active in the NPI registry since August 2009.

NPPES Registry Identity

NPI1912139197

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameNICOLETTE RAE EARLESCredential: LAC

Location Address60 W SUNBRIDGE DRFayetteville, AR 72703-1822

Mailing Address2400 S 48th StSpringdale, AR 72762-6683 · (479) 750-2020 · Fax (479) 750-4843

Phone(479) 695-1240

Fax(479) 750-4843

Sole ProprietorNo

Enumeration DateAugust 20, 2009

Last NPPES UpdateJanuary 4, 2016

✔ NPI 1912139197 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 · A1510136

60 W SUNBRIDGE DR, Fayetteville, AR 72703

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Other Providers at the Same Location NPPES 20

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

HEATHER DAVIS MHPP

Counselor (Mental Health)