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Contact Information

LIFE TREK, LLC
21 SYCAMORE ST
CABOT, AR72023-3714
 Phone: 501-617-5678
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Counseling

103TC1900X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for LIFE TREK LLC · (Female)

NPI # 1861925968
Status Active
Credentials
Entity Individual
Enumeration date 04/05/2017
Last updated 04/05/2017 - About 9 years ago
Sole proprietor 1 Not specified
Identifiers
  • AR License # 17-04P
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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