LAURA NEEDHAM-PUCKETT


Address: 1815 Pleasant Grove Road, Jonesboro, AR 72405-7870
Phone: 8709336886

LAURA NEEDHAM-PUCKETT (NPI# 1174645626) 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) 1174645626
Entity Type Individual
Full Name LAURA NEEDHAM-PUCKETT
Other Name LAURA NEEDHAM
Credential LPC, LPE (NON-INDEPE
Practice Address 1815 Pleasant Grove Road
Jonesboro
AR 72405-7870
Practice Telephone 8709336886
Practice Fax Number 8709339395
Mailing Telephone 8709336886
Mailing Fax Number 8709339395
Enumeration Date 2007-04-04
Last Update Date 2020-08-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
P0305019 AR Behavioral Health & Social Service Providers
N 103T00000X Psychologist 11-14E AR Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
AR 178956795 05
AR BCBS 5R806 01

Office Location

Street Address 1815 PLEASANT GROVE ROAD
City JONESBORO
State AR
Zip Code 72405-7870

Providers in the same location

NPI Name Taxonomy Address Enumeration
1770535569 Families, Inc of Arkansas Counselor 1815 Pleasant Grove Road, Jonesboro, AR 72401 2006-05-17
1265050512 Rossie Goolsby Case Manager/Care Coordinator 1815 Pleasant Grove Road, Jonesboro, AR 72405-7870 2020-07-13
1922634161 Steven Austin Harmon Counselor 1815 Pleasant Grove Road, Jonesboro, AR 72405-7870 2020-03-19
1225664469 David Jake Emery Case Manager/Care Coordinator 1815 Pleasant Grove Road, Jonesboro, AR 72405-7870 2020-03-19
1740836030 Shonna Marie Arnold Counselor 1815 Pleasant Grove Road, Jonesboro, AR 72405-7870 2019-08-13
1003468380 Kiara Danyel Griffin Counselor 1815 Pleasant Grove Road, Jonesboro, AR 72405-7870 2019-07-16
1942720669 Ashley Michelle Puckett Counselor 1815 Pleasant Grove Road, Jonesboro, AR 72404 2017-06-23
1477081669 Shawn Michael Canty Case Manager/Care Coordinator 1815 Pleasant Grove Road, Jonesboro, AR 72401 2017-06-01
1205376209 Laura Harmon Social Worker 1815 Pleasant Grove Road, Jonesboro, AR 72405-7870 2017-02-24
1164964656 Amy Renee Williams Social Worker 1815 Pleasant Grove Road, Jonesboro, AR 72404 2016-11-15
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1063023554 Christopher Marshall Dentist 1804 Old Greensboro Rd Bldg B, Jonesboro, AR 72405-0003 2020-08-10
1346841756 Hannah Beth Johnston Occupational Therapy Assistant 970 County Road 753, Jonesboro, AR 72405-0232 2020-11-03
1275168213 Blaine Carson Optometrist 3705 E Johnson Ave, Jonesboro, AR 72405-1858 2020-03-10
1669006359 Megan Maureen Anderson Nurse Practitioner 2712 E Johnson Ave, Jonesboro, AR 72405-1874 2020-03-03
1922539915 Whitney Taylor Registered Nurse 2712 E Johnson Ave, Jonesboro, AR 72405-1874 2017-03-22
1205211976 Higginbotham Dental Group, Pllc Dentist 1804 Old Greensboro Rd Ste D, Jonesboro, AR 72405-2076 2015-07-23
1265087092 Richardson Anesthesia Pllc Anesthesiology 320 County Road 794, Jonesboro, AR 72405-7087 2019-08-08
1194346304 Toni Cecil Student in an Organized Health Care Education/Training Program 4505 Mockernut Ln, Jonesboro, AR 72405-7848 2020-04-28
1992306534 Haley Elizabeth Ballard Case Manager/Care Coordinator 1815 Pleasant Grove Rd, Jonesboro, AR 72405-7870 2020-11-02
1457967986 Ana-liese Torres Case Manager/Care Coordinator 1815 Pleasant Grove Rd, Jonesboro, AR 72405-7870 2020-09-21
Find all providers in zip 72405

Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1184239360 Haronepthia C Cameron Counselor 102 Lundy Ln, Jonesboro, GA 30238-2132 2020-09-14
1356993356 New Behavioral Services LLC Counselor 216 N Mcdonough St, Jonesboro, GA 30236-3608 2019-07-10
1386107563 Lashanda Robertson Counselor 124 S Main St Ste 2n, Jonesboro, GA 30236-3502 2019-04-13
1467987230 Sharon Temple Counselor 10519 Cedar Knob, Jonesboro, GA 30238-8834 2017-04-28
1497207450 Felita Bush Counselor 124 S Main St Ste 2g, Jonesboro, GA 30236-3502 2016-10-25
1164977583 Dealva Kernodle Counselor 935 County Road 348, Jonesboro, AR 72401-0418 2016-08-16
1013372879 Cassandra Walker Counselor 2617 Dancing Waters Dr, Jonesboro, GA 30236-4051 2015-12-22
1932512621 Project Real Life Youth Occupational Training Corps, Inc. Counselor 6805 Tara Blvd, Jonesboro, GA 30236-1501 2014-06-10
1518384106 Visions of Life Behavioral Health Services, Incorporated Counselor 754 Chapman Street, Jonesboro, GA 30238 2014-03-21
1922443993 Ruth Wheller Counselor 1000 S Caraway Rd Ste 103, Jonesboro, AR 72401-4465 2013-05-06
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Competitor

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City JONESBORO
Zip Code 72405

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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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