Lauren Latta Bartholomew, MS, LAC
Counselor, Mental Health in Fayetteville, AR. Individual provider (NPI-1).
NPI number1528782885
StatusActive
Last updated in NPPESSep 30, 2022
Details
- NPI
- 1528782885
- Entity type
- Individual (NPI-1)
- Name
- Lauren Latta Bartholomew
- Credential
- MS, LAC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 30, 2022
- Certification date
- Sep 30, 2022
- Last updated
- Sep 30, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | A2209012 | – | Yes |
Practice location
3680 N Investment DrFayetteville, AR 72703-5458
Phone 479-435-9356
Mailing address
11550 Viney Grove RdPrairie Grove, AR 72753-8245
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