Organization
CICADA INTEGRATED CARE PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH I UMPHRIES LPE-I (OWNER/MEMBER)
(870) 330-4460
Entity
Organization
Contact information
Practice address
1015 E 35TH ST, TEXARKANA, AR 71854-2745
(870) 330-4460
(870) 330-4460
Mailing address
1015 E 35TH ST, TEXARKANA, AR 71854-2745
(870) 330-4460
(870) 330-4460
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
103T00000X
Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
103TC1900X
Counseling Psychologist
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
133NN1002X
Nutrition Education Nutritionist
—
—
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
—
—
171100000X
Acupuncturist
—
—
171400000X
Health & Wellness Coach
—
—
174H00000X
Health Educator
—
—
2084P0800X
Psychiatry Physician
—
—
225700000X
Massage Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
13200
—
AR
01
—
1932546371
INDIVIDUAL NPI
AR
Enumeration date
02/28/2022
Last updated
07/21/2022
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