Healthcare Provider Details

I. General information

NPI: 1851700330
Provider Name (Legal Business Name): MAY YOUA VUE LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/08/2014
Last Update Date: 12/26/2024
Certification Date: 12/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1003 SE 14TH ST STE 4
BENTONVILLE AR
72712-6897
US

IV. Provider business mailing address

1003 SE 14TH ST STE 4
BENTONVILLE AR
72712-6897
US

V. Phone/Fax

Practice location:
  • Phone: 479-348-3637
  • Fax: 479-244-2123
Mailing address:
  • Phone: 479-348-3637
  • Fax: 479-244-2123

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberA1408105
License Number StateAR
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberP1610164
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: