MRS. MARILYN J CULLUM


Address: 1742 Falls Blvd. Suite 5, The Logan Center, Wynne, AR 72396
Phone: 8702089333

MRS. MARILYN J CULLUM (NPI# 1730245465) 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) 1730245465
Entity Type Individual
Full Name MRS. MARILYN J CULLUM
Credential LPC
Practice Address 1742 Falls Blvd. Suite 5
The Logan Center
Wynne
AR 72396
Mailing Address 139 County Road 395
Wynne
AR 72396
Practice Telephone 8702089333
Practice Fax Number 8702089229
Mailing Telephone 8702385596
Mailing Fax Number 8702089229
Enumeration Date 2006-12-28
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
P9807016 AR Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
AR BLUE CROSS BLUE SHIELD 5U425 01

Office Location

Street Address 1742 FALLS BLVD. SUITE 5
THE LOGAN CENTER
City WYNNE
State AR
Zip Code 72396

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1962918813 David Makool Occupational Therapy Assistant 2000 Gogbill Road, Wynne, AR 72396 2017-12-14
1912425554 Barbara Ann Burgess Case Manager/Care Coordinator 661 Addison, Wynne, AR 72396 2017-09-05
1518481308 Tyler Leigh Shumard Physical Therapy Assistant 128 County Road 145, Wynne, AR 72396 2017-08-02
1588957476 Northeast Arkansas Community Mental Health Center Counselor 661 Addison Dr., Wynne, AR 72396 2011-05-25
1417106493 Katherine Danielle Calhoun Dietitian, Registered 1013 Bridges Ave East, Wynne, AR 72396 2008-09-15
1053531319 George Scott Puryear, Dds, Pa Dentist 715 East Eldrdige Avenue, Wynne, AR 72396 2007-04-27
1770655185 Robert Walton Bassham Dentist 669 Addison Drive, Wynne, AR 72396 2006-11-14
1073683827 George Scott Puryear Jr. Dentist 715 E. Eldridge Ave, Wynne, AR 72396 2006-11-09
1194809517 Richard Keeter Toland Dentist 2100 North Killough, Wynne, AR 72396 2006-10-24
1912012337 Southern Care Inc Ambulance 669 N Falls Blv, Wynne, AR 72396 2006-08-19
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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
1982904389 Linda K Ingle, Lpc Counselor 222 Mississippi St S Ste A, Wynne, AR 72396-3000 2010-11-01
1023272259 David M Ray Counselor 1792 Falls Blvd N, Ste. 5, Wynne, AR 72396-4092 2008-07-16
1023225992 Millie F. Lace Counselor 202 Commercial Ave E, Wynne, AR 72396-2930 2007-05-17

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1841899986 Cynthia Hrdlichka Counselor 2224 E Elaine Ave, Fayetteville, AR 72703-4507 2020-10-20
1568069169 Blaire Bradbury Counselor 1466 N Desoto Pl, Fayetteville, AR 72703-1953 2020-10-06
1063029460 Onward and Upward Counseling, Pllc Counselor 100 North Rockingchair Road, Ste 3, Paragould, AR 72450 2020-09-29
1932712064 Lavana J. Kindle Counselor Victory Church 1283 Us-278 W, Camden, AR 71701-4551 2020-08-28
1275141202 Leslie Meeker Counselor 10068 Buckskin Cir, Rogers, AR 72758-7575 2020-07-15
1710509997 Dickerson Family Resource Center, LLC Counselor 5401 John F. Kennedy Blvd, Suite I Rm 1, North Little Rock, AR 72116 2020-05-11
1114557824 Elysian Counseling Services Pllc Counselor 1024 W Court St Ste C, Paragould, AR 72450-4130 2020-01-22
1588294631 Puzzle Collaborative Counselor 34 W Colt Square Dr Ste 1, Fayetteville, AR 72703-2888 2020-01-16
1487290888 John Hunter Bramlitt Counselor 12320 I-30, Little Rock, AR 72210 2019-11-20
1114562071 Ariel Brown Counselor 10 Remington Dr, Little Rock, AR 72204-8202 2019-11-14
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Competitor

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City WYNNE
Zip Code 72396

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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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