=====================================================
General NPI Number Information
=====================================================
NPI Number | 1841448792
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | APRIL DAWN TIMMS MHPP
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/04/2008
-----------------------------------------------------
Last Update Date | 02/12/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 208 COBEAN BLVD
-----------------------------------------------------
City | LAKE CITY
-----------------------------------------------------
State | AR
-----------------------------------------------------
Zip | 72437-9704
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 870-237-1329
-----------------------------------------------------
Fax | 870-709-0212
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 208 COBEAN BLVD
-----------------------------------------------------
City | LAKE CITY
-----------------------------------------------------
State | AR
-----------------------------------------------------
Zip | 72437-9704
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 870-237-1329
-----------------------------------------------------
Fax | 870-709-0212
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YP2500X
-----------------------------------------------------
Taxonomy Name | Professional Counselor
-----------------------------------------------------
License Number | P1303018
-----------------------------------------------------
License Number State | AR
-----------------------------------------------------