Healthcare Provider Details

I. General information

NPI: 1225799638
Provider Name (Legal Business Name): SIDNEY MCCOLLETT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SIDNEY KUYKENDALL

II. Dates (important events)

Enumeration Date: 01/07/2022
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 932
HOPE AR
71802-0932
US

IV. Provider business mailing address

PO BOX 932
HOPE AR
71802-0932
US

V. Phone/Fax

Practice location:
  • Phone: 870-474-5001
  • Fax:
Mailing address:
  • Phone: 870-474-5001
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: