Healthcare Provider Details

I. General information

NPI: 1770834228
Provider Name (Legal Business Name): RACHEL STUMBAUGH LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/24/2012
Last Update Date: 03/03/2026
Certification Date: 03/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5395 W ASH ST STE 2
POTTSVILLE AR
72858-9228
US

IV. Provider business mailing address

8266 SR 105 N
RUSSELLVILLE AR
72802-1470
US

V. Phone/Fax

Practice location:
  • Phone: 479-222-0268
  • Fax: 636-324-8551
Mailing address:
  • Phone: 479-880-6934
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberP2007050
License Number StateAR
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberP2007050
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: