Individual
MINDY RAE EVERETTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
QBHP
Contact information
Practice address
1507 E RACE AVE, SEARCY, AR 72143-4661
(501) 305-2359
(501) 305-2348
Mailing address
2006 E PARK AVE, SEARCY, AR 72143-5930
(501) 305-3305
(501) 279-0760
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
222Q00000X
—
AR
Enumeration date
12/04/2018
Last updated
10/14/2022
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