MS. Mia Emily Gordon LAC

  • 1396183091 NPI Number
  • |
  • Actived: 6 years ago
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According to our database, NPI number for MS. Mia Emily Gordon LAC is 1396183091 and actived since Wednesday, June 5 2013. MS. Mia Emily Gordon LAC is an individual provider specializes in Mental Health, primary practice location is 575 Club Ln Ste 103, Conway, AR 72034. You can also contact MS. Mia Emily Gordon LAC via telephone number is (501) 404-9737. Provider NPI information was last updated on 06/30/2016.

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Overview of MS. Mia Emily Gordon LAC

  • NPI number: 1003462706
  • Provider type: Individual
  • Specialty: Mental Health
  • Gender: Female
  • Active since: 06/05/2013
  • Last updated: 06/30/2016

Primary Scrop of Practice

  • Taxonomy Code: 101YM0800X
  • Specialty: Mental Health
  • License Number: A1305056
  • License State: AR

Provider Mailing Address

  • Address: 575 Club Ln Ste 103
    Conway, AR 72034
  • Phone: 501-404-9737
  • Fax: 617-379-0496

Provider Practice Location

  • Address: 575 Club Ln Ste 103
    Conway, AR 72034
  • Phone: 501-404-9737
  • Fax: 617-379-0496

Scope of Practice

  • Taxonomy Code: 101YM0800X
  • Specialty: Mental Health
  • License Number: A1305056
  • License State: AR
  • Switch: No

Question & Answers

What is the npi number?

  • Q: What is the npi number for MS. Mia Emily Gordon LAC?
  • A: The npi number for MS. Mia Emily Gordon LAC is 1396183091.
  • Q: What are MS. Mia Emily Gordon LAC's specialties?
  • A: MS. Mia Emily Gordon LAC's specialties are Mental Health and different specialities.
  • Q: What is the medical license for MS. Mia Emily Gordon LAC?
  • A: The medical license number for MS. Mia Emily Gordon LAC is A1305056 and issued in AR in USA.
  • Q: Where is MS. Mia Emily Gordon LAC practice location?
  • A: MS. Mia Emily Gordon LAC is practicing at 575 Club Ln Ste 103, Conway, AR 72034.
  • Q: How to contact MS. Mia Emily Gordon LAC?
  • A: You can contact MS. Mia Emily Gordon LAC via 501-404-9737.