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MR. MICHAEL ALVIS LPE

>> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1598913451

Individual Registrant:
MR. MICHAEL  ALVIS LPE
Gender: M
Sole Proprietor

Location and contact information for practice:
1008 PINE ST  ARKADELPHIA, AR 71923-4919 US
Tel: 870-230-8364  Fax: 870-230-8381

Contact information for business:
5537 BLEAUX AVE  SPRINGDALE, AR 72762-0737 US
Tel: 479-872-5580  Fax: 479-872-5581

Registration Information:
NPI: 1598913451
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101Y00000XBehavioral Health & Social Service Providers
Counselor
AR92-19EI

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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