Healthcare Provider Details

I. General information

NPI: 1144459355
Provider Name (Legal Business Name): MELANIE STERLING & ASSOC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/09/2009
Last Update Date: 05/03/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2796 S 2ND ST SUITE E
CABOT AR
72023-7020
US

IV. Provider business mailing address

2796 S 2ND ST SUITE E
CABOT AR
72023-7020
US

V. Phone/Fax

Practice location:
  • Phone: 501-286-6086
  • Fax: 501-286-6046
Mailing address:
  • Phone: 501-286-6086
  • Fax: 501-286-6046

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License Number
License Number State

VIII. Authorized Official

Name: MELANIE JEAN STERLING
Title or Position: OWNER
Credential: APN
Phone: 501-230-9156