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NPI Code Detail

MEDICARE: SCARLETT EVERT

MEDICARE: SCARLETT EVERT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselorP1210098AR
2101YP2500XProfessional CounselorP1210098AR

General Provider Information

NPI Number : 1700023876
Entity Type Code : Individual
Provider Name (Legal Business Name) : SCARLETT EVERT
Provider Business Mailing Address
First Line : 10800 FINANCIAL CENTRE PKWY STE 290
Second Line :
City : LITTLE ROCK
State : AR
Zip : 72211-3581
Country : US
Telephone Number : 479-461-1194
Fax Number :
Provider Business Practice Location Address
First Line : 575 HARKRIDER ST
Second Line :
City : CONWAY
State : AR
Zip : 72032-5631
Country : US
Telephone Number : 501-781-2230
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/12/2009
Last Update Date : 03/17/2018

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Directions to “ SCARLETT EVERT ” Practice Location

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