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FELICIA RENIA BAGLEY AT
>> Counselor >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1528295383
Individual Registrant: FELICIA RENIA BAGLEY AT
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
824 W MAIN ST MAGNOLIA, AR 71753-3316 US
Tel: 870-234-0495 Fax: 870-234-9481
Tel: 870-234-0495 Fax: 870-234-9481
Contact information for business:
5537 BLEAUX AVE SPRINGDALE, AR 72762-0737 US
Tel: 479-872-5580 Fax: 479-872-5581
Tel: 479-872-5580 Fax: 479-872-5581
Registration Information:
NPI: 1528295383
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 101Y00000X | Behavioral Health & Social Service Providers Counselor |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
