Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YA0400X | Addiction Counselor (Substance Use Disorder) | 0339L | AR |
Y | 101YM0800X | Mental Health Counselor | A1209075 | AR |
NPI | 1003163080 |
---|---|
Provider Name | Mrs. Penny J Almond |
First Address | Hot Springs, AR 71901-6327 |
Second Address | Hot Springs, AR 71901-6327 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/08/2012 |
Last Update Date | 23/07/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1003163080 | HEALTHSCOPE (01) | AR |
1003163080 | QUALCHOICE (01) | AR |
5768864 | AETNA (01) | AR |
5II63 | BLUE CROSS BLUE SHIELD (01) | AR |
5II63 | HEALTH ADVANTAGE (01) | AR |
5II63 | USAWM (01) | AR |