Healthcare Provider Details

I. General information

NPI: 1750049961
Provider Name (Legal Business Name): NANCY NEAL MHT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: NANCY HALL

II. Dates (important events)

Enumeration Date: 12/05/2021
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

507 N ROSSER ST
FORREST CITY AR
72335-3250
US

IV. Provider business mailing address

101 PEMBROKE CT
GREENSBURG PA
15601-6404
US

V. Phone/Fax

Practice location:
  • Phone: 724-396-1510
  • Fax: 724-972-4627
Mailing address:
  • Phone: 724-396-1510
  • Fax: 724-972-4627

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberA2607002
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: