Individual
NANCY LOU GHORMLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
827 W HARVARD ST, SILOAM SPRINGS, AR 72761-4013
(479) 549-3121
(479) 750-4843
Mailing address
2400 S. 48TH STREET, SPRINGDALE, AR 76762
(479) 750-2020
(479) 750-8967
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
911302980
AR
101YM0800X
Mental Health Counselor
P0708039
AR
101YP2500X
Professional Counselor
Primary
P0708039
AR
Other
Enumeration date
09/06/2006
Last updated
12/12/2018
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