Victoria Stanley
Counselor, Mental Health in Fayetteville, AR. Individual provider (NPI-1).
NPI number1053136259
StatusActive
Last updated in NPPESNov 21, 2024
Details
- NPI
- 1053136259
- Entity type
- Individual (NPI-1)
- Name
- Victoria Stanley
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 21, 2024
- Certification date
- Nov 21, 2024
- Last updated
- Nov 21, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | A2103015 | AR | Yes |
Practice location
3680 N Investment Dr Ste 1Fayetteville, AR 72703-5458
Phone 479-435-9356
Mailing address
3680 N Investment Dr Ste 1Fayetteville, AR 72703-5458
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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