Individual
AMBER NICOLE TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
960 N 8TH ST, ARKADELPHIA, AR 71923-3202
(870) 925-0587
Mailing address
960 N 8TH ST, ARKADELPHIA, AR 71923-3202
(870) 925-0587
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A1007074
AR
373H00000X
Day Training/Habilitation Specialist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07192010943703
—
AR
Enumeration date
05/17/2007
Last updated
02/08/2019
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