Alyson Lindsey Shepherd, LAC
Counselor, Mental Health in Fayetteville, AR. Individual provider (NPI-1).
NPI number1962059568
StatusActive
Last updated in NPPESOct 9, 2024
Details
- NPI
- 1962059568
- Entity type
- Individual (NPI-1)
- Name
- Alyson Lindsey Shepherd
- Credential
- LAC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 20, 2019
- Certification date
- Oct 9, 2024
- Last updated
- Oct 9, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | A2409003 | AR | Yes |
| 171M00000X | Case Manager/Care Coordinator | – | – |
Practice location
60 W Sunbridge DrFayetteville, AR 72703-1822
Phone 479-695-1240 · Fax 479-750-4843
Mailing address
2400 S 48th StSpringdale, AR 72762-6683
Phone 479-750-2020 · Fax 479-750-4843
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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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