WHITNEY E MIX


Address: 1672 South 48th Street, Suite B, Springdale, AR 72762
Phone: 4792026300

WHITNEY E MIX (NPI# 1114473261) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114473261
Entity Type Individual
Full Name WHITNEY E MIX
Other Name WHITNEY LASSE
Credential LPC
Practice Address 1672 South 48th Street
Suite B
Springdale
AR 72762
Practice Telephone 4792026300
Practice Fax Number 4792026300
Mailing Telephone 4792026300
Mailing Fax Number 4792026300
Enumeration Date 2016-08-29
Last Update Date 2019-03-19
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
P1903027 AR Behavioral Health & Social Service Providers
N 101YM0800X Counselor
Specialization: Mental Health
A1608109 AR Behavioral Health & Social Service Providers

Office Location

Street Address 1672 SOUTH 48TH STREET
SUITE B
City SPRINGDALE
State AR
Zip Code 72762

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1790223006 Sam's West, Inc. Technician/Technologist 1517 Gene George Blvd, Springdale, AR 72762 2017-02-07
1255875746 Arkansas Childrens Northwest, Inc. General Acute Care Hospital 2601 South 56th Street, Springdale, AR 72762 2016-12-19
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1609408103 Rebecca Autumn Phillips Counselor 703 N Thompson St, Springdale, AR 72764-3205 2020-02-12
1326525007 Sarah Marie Phillips Counselor 1672 S 48th St Ste B, Springdale, AR 72762-5880 2018-07-25
1285015677 Sean Mcdonald Counselor 2002 S 48th St Ste F, Springdale, AR 72762-5799 2015-06-11
1003113614 Norman Anthony Thompson Counselor 9619 Utica Pl, Springdale, MD 20774-5449 2011-02-16
1699716456 Kandra J Napier Counselor 2466 S 48th Street, Springdale, AR 72762 2006-06-10
1710925441 Elaine Carol Willard-tayrien Counselor 2514 S. 48th Street, Springdale, AR 72762 2006-06-03
1770520041 Sandra Lee Maaske Counselor 4912 Springhouse Dr, Springdale, AR 72762-7261 2006-06-02
1710528971 Jacob Scott Messmer Counselor 1325 E Kemper Rd, Springdale, OH 45246-3921 2019-09-30
1962965111 Cindy Palen Counselor 6815 Isaacs Orchard Rd Ste B1, Springdale, AR 72762-6902 2019-04-12
1033682554 Brittni Huckabay Counselor 2400 S 48th St, Springdale, AR 72762-6683 2019-01-08
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Competitor

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City SPRINGDALE
Zip Code 72762

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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