MR. TROY LARRY VINCENT SR.


Address: 1507 N. Pecan St., Newport, AR 72112
Phone: 8705233643

MR. TROY LARRY VINCENT SR. (NPI# 1275748725) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1275748725
Entity Type Individual
Full Name MR. TROY LARRY VINCENT SR.
Credential LAC
Practice Address 1507 N. Pecan St.
Newport
AR 72112
Mailing Address Po Box 2306
State University
AR 72467-2306
Practice Telephone 8705233643
Mailing Telephone 8702588116
Enumeration Date 2007-05-10
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
A0704036 AR Behavioral Health & Social Service Providers

Office Location

Street Address 1507 N. PECAN ST.
City NEWPORT
State AR
Zip Code 72112

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1285188789 Jasmine Mansko Speech-Language Pathologist 1128 S Main St, Newport, AR 72112 2016-08-12
1366831877 Madison Eddington Physical Therapy Assistant 1807 Jetta Drive, Newport, AR 72112 2015-01-21
1750514840 Ralph Irwin Wray Counselor 107 Laurel St, Newport, AR 72112 2009-08-24
1952558264 Maxus Inc Counselor 2000 Mclain, Suite B, Newport, AR 72112 2008-08-19
1114065083 Deanna Dawn Browning Case Manager/Care Coordinator 1509 N Pecan St, Newport, AR 72112 2007-02-02
1295895670 Allene Cummings Social Worker 1507 North Pecan Street, Newport, AR 72112 2006-12-08
1295801207 Brandy Diane Young Speech-Language Pathologist 221 Lindley Lane, Newport, AR 72112 2006-11-28
1578659132 William C. Cobb, M.d., P.a. Internal Medicine 1117 Mclain Street, Newport, AR 72112 2006-10-04
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

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Competitor

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City NEWPORT
Zip Code 72112

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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