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Provider Information for 1477888337


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WILLIAM HEATH LARNER LPC


Sex: Male

NPI: 1477888337
Last Updated: 2023-05-26
Certification Date: 2023-05-26

Details

NameValue
NPI1477888337
Enumeration Date2009-10-12
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address PO BOX 1848
MENA, AR 71953-1841
United States

Phone: 479-437-3449 | Fax:479-243-0285
 
Primary Practice Address 208 MCAULEY CT STE B
HOT SPRINGS, AR 71913-6344
United States

Phone: 888-710-8220 | Fax:866-573-0761
 
Secondary Practice Address(es)

900 MARTIN LUTHER KING BLVD STE 200
MALVERN, AR 72104-2217
United States

Phone: 888-710-8220 | Fax:866-573-0761
 

Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
MEDICAIDAR226831719
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
No 101YM0800X - Counselor - Mental HealthARP1306067
Yes 101YP2500X - Counselor - ProfessionalARP1306067