Theresa L Qualls in Little Rock - Counselor
Theresa L Qualls - NPI 1376731539
Theresa L Qualls is a Counselor in Little Rock, Arkansas. Theresa L Qualls practices all healthcare services and medical treatments related to Counselor. The NPI Number for Theresa L Qualls is 1376731539. The last update date is 2014-10-13.
Theresa L Qualls's current location address is 711 N Cedar St, Little Rock, Arkansas. You can contact this provider via phone number 5014107922. The mailing address for Theresa L Qualls is 711 N Cedar St, Little Rock, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Theresa L Qualls |
|---|---|
| Address | 711 N Cedar St, Little Rock, Arkansas |
| Phone Number | 5014107922 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1376731539 |
|---|---|
| Provider Enumeration Date | 2007-10-11 |
| Last Updated Date | 2014-10-13 |
Provider Mailing Address Detail
| Address | 711 N Cedar St |
|---|---|
| City | Little Rock |
| State | Arkansas (AR) |
| Post Code | 722053924 |
| Phone Number | 5014107922 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Counselor |
|---|---|
| Taxonomy | 101Y00000X |
| Licence No | P1204052 |
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Definition: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supe |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200023740 | AR | -- |
Post Comment/ Review Below
What is the Theresa L Qualls's unique identification number?
The Theresa L Qualls has been assigned the NPI (National Provider Identifier) Number 1376731539 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Theresa L Qualls's physical address?
The Theresa L Qualls is physically located at 711 N Cedar St, in the city of Little Rock, AR, with the postal code 722053924.
What is the area of specialization for Theresa L Qualls, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Theresa L Qualls is Counselor, and the corresponding taxonomy code that categorizes this area of expertise is 101Y00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1376731539 to Theresa L Qualls?
The Centers for Medicare & Medicaid Services originally issued the 1376731539 to Theresa L Qualls on 2007-10-11.
When was the information pertaining to Theresa L Qualls most recently updated or revised?
The details related to Theresa L Qualls, including its address, specialty, and other relevant information, were last updated or revised on 2014-10-13.
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