Healthcare Provider Details

I. General information

NPI: 1790710044
Provider Name (Legal Business Name): GEORGE NIXON SHULER JR. MSW, LCSW
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/12/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 NEWMAN DR
HELENA AR
72342-8950
US

IV. Provider business mailing address

2707 BROWNS LN
JONESBORO AR
72401-7213
US

V. Phone/Fax

Practice location:
  • Phone: 870-338-3900
  • Fax: 870-338-7798
Mailing address:
  • Phone: 870-972-4939
  • Fax: 870-972-4911

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number8527-C
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: