CLAY TYLER CRITTENDEN LPE (PROVISIONAL)
NPI 1962798876
Counselor - Mental Health in Paragould, AR
Active since June 20, 2011
About Clay Tyler Crittenden Lpe (provisional) NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CLAY TYLER CRITTENDEN LPE (PROVISIONAL) (NPI 1962798876) is an individual mental health provider in Paragould, Arkansas, licensed in Arkansas (11-24AE) and active in the NPI registry since June 2011.
NPPES Registry Identity
NPI1962798876
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameCLAY TYLER CRITTENDENCredential: LPE (PROVISIONAL)
Location Address2420 LINWOOD DRParagould, AR 72450-6122
Mailing Address2420 Linwood DrParagould, AR 72450-6122 · (870) 236-5880 · Fax (870) 236-5757
Phone(870) 236-5880
Fax(870) 236-5757
Sole ProprietorNo
Enumeration DateJune 20, 2011
✔ NPI 1962798876 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 · 11-24AE
2420 LINWOOD DR, Paragould, AR 72450
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.
Case Manager/Care Coordinator
2420 LINWOOD DR, SUITE #1 & 2
PARAGOULD, AR 72450
PARAGOULD, AR 72450
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1962798876, enumerated as an "individual" on June 20, 2011.
The provider is located at 2420 LINWOOD DR PARAGOULD, AR 72450 and the phone number is (870) 236-5880.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
