National Provider Identifier Database

TRACY KENNEDY COUNSELING LLC
Professional


Contact Information

TRACY KENNEDY COUNSELING LLC
1142 HIGHWAY 71 S STE C
MENA, AR71953-8078
Phone: 479-437-7967
Fax:
Website:
Specialty Taxonomy Code
* Professional 101YP2500X
Addiction (Substance Use Disorder) 101YA0400X

* Indicates primary specialty

NPI Profile & details for TRACY KENNEDY COUNSELING LLC

NPI Number 1891411559
Legal business name
LBN
TRACY KENNEDY COUNSELING LLC
Authorized official TRACY KENNEDY - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 10/14/2022
Last updated 10/14/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers n/a

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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