MRS. MYSTIC MICHELLE THOMPSON


Address: 3223 E Broadway St, North Little Rock, AR 72114-6344
Phone: 5019455544

MRS. MYSTIC MICHELLE THOMPSON (NPI# 1851568315) 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) 1851568315
Entity Type Individual
Full Name MRS. MYSTIC MICHELLE THOMPSON
Practice Address 3223 E Broadway St
North Little Rock
AR 72114-6344
Practice Telephone 5019455544
Practice Fax Number 5019455546
Mailing Telephone 5019455544
Mailing Fax Number 5019455546
Enumeration Date 2008-05-14
Last Update Date 2008-05-14
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WP0808X Registered Nurse
Specialization: Psych/Mental Health
R67979 AR Nursing Service Providers

Office Location

Street Address 3223 E BROADWAY ST
City NORTH LITTLE ROCK
State AR
Zip Code 72114-6344

Providers in the same location

NPI Name Taxonomy Address Enumeration
1114109147 Ronald Kirby Case Manager/Care Coordinator 3223 E Broadway St, North Little Rock, AR 72114-6344 2007-11-30
1649447129 Jeffrey Reed Case Manager/Care Coordinator 3223 E Broadway St, North Little Rock, AR 72114-6344 2008-05-13
1578738761 Kimberly Robinson Social Worker 3223 E Broadway St, North Little Rock, AR 72114-6344 2008-04-28
1427229079 Marissa K Jones Case Manager/Care Coordinator 3223 E Broadway St, North Little Rock, AR 72114-6344 2008-03-21
1083885636 Peggy J James Case Manager/Care Coordinator 3223 E Broadway St, North Little Rock, AR 72114-6344 2008-03-21
1760650642 People Advocating Transitions Case Management 3223 E Broadway St, North Little Rock, AR 72114-6344 2008-02-13
1659554640 Tfs of Gurdon Inc Case Management 3223 E Broadway St, North Little Rock, AR 72114-6344 2007-12-12
1912189622 Patrick Randolph Case Manager/Care Coordinator 3223 E Broadway St, North Little Rock, AR 72114-6344 2007-12-04
1720260433 Allen Phillips Case Manager/Care Coordinator 3223 E Broadway St, North Little Rock, AR 72114-6344 2007-12-04

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1316432966 Mid State Counseling and Recovery Service Clinic/Center 1920 Main St Ste 229, North Little Rock, AR 72114 2018-06-26
1053826842 Kelli Lauron Johnson Nurse Practitioner 2800 North Willow Street, North Little Rock, AR 72114 2017-12-03
1689117756 State of Arkansas Skilled Nursing Facility 2401 John Ashley Drive, Building #100, North Little Rock, AR 72114 2016-11-22
1366787459 J Andrew Mccullough Counselor 628 W Broadway St Ste 300, North Little Rock, AR 72114 2012-11-30
1598071490 Roger Elliott Hicks IIi Counselor 2200 Fort Roots Dr # 3d, North Little Rock, AR 72114 2010-08-30
1740594456 Tuyet Thi Van Dentist 520 W. Pershing Blvd., North Little Rock, AR 72114 2010-08-05
1467764183 Jennifer Leigh Nash Behavioral Analyst 628 W Broadway St Ste 100, North Little Rock, AR 72114 2010-07-10
1336398544 Tina A Davie Registered Nurse 2200 Foot Roots Drive, Little Rock, AR 72114 2008-09-11
1316125313 Centers for Youth & Families Community/Behavioral Health 200 W. 20th, North Little Rock, AR 72114 2008-02-01
1881878064 Marie A Graham Nurse Practitioner 636 West Broadway St, No Little Rock, AR 72114 2007-12-24
Find all providers in zip 72114

Taxonomy Information

Taxonomy Code 163WP0808X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1851664874 Mary Ann Sullivan Registered Nurse 1901 Main St, North Little Rock, AR 72114-2831 2012-02-22
1205132636 Rosalynn Denise Mcgill Registered Nurse 4354 Stockton Dr, North Little Rock, AR 72117-2917 2011-02-02
1376869065 Donna Bingley Registered Nurse 4702 W Commercial Dr, North Little Rock, AR 72116-7068 2010-04-20

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1518434745 Shawnte Marie Farmer Registered Nurse 910 Nw 7th St Ste 6, Bentonville, AR 72712-4565 2018-10-25
1346789948 Watkins Family Health & Counseling, Inc. Registered Nurse 10345 W Jeter Rd, Fayetteville, AR 72701-9382 2017-02-15
1841740115 Kelsey Morgan Sallee Registered Nurse 4004 Massard Rd, Fort Smith, AR 72903-6222 2016-10-10
1982060562 Buffalo River Clinic Inc Registered Nurse 933 Mc 6013, Yellville, AR 72687-7595 2016-01-12
1164805636 Teressa Lynn Barnes Registered Nurse 810 N. Hutchinson St., Pine Bluff, AR 71602-4644 2015-07-02
1215194055 Darin Paul Morgan Registered Nurse 1014 Autumn Rd Ste 3, Little Rock, AR 72211-3768 2008-05-20
1497922868 Jacqueline Regina Love-ryan Registered Nurse 620 S Laurel, Pine Bluff, AR 71601-4859 2008-05-14
1669664975 Lori Jean Cline Registered Nurse 2322 Gunpowder Rd, Little Rock, AR 72227-3025 2007-08-10
1588709646 Perspectives Behavioral Health Management, LLC Registered Nurse 115 Fort St, Barling, AR 72923-2646 2007-02-20
1407910680 Susan Lowrey Registered Nurse 4601 W 7th St, Little Rock, AR 72205-5441 2006-12-21
Find all providers with the same taxonomy

Competitor

Search similar providers

City NORTH LITTLE ROCK
Zip Code 72114

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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