Provider Demographics
NPI:1104199124
Name:TREAT, LAURA ELIZABETH (LPC)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:ELIZABETH
Last Name:TREAT
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7774 PUSH MOUNTAIN RD
Mailing Address - Street 2:
Mailing Address - City:NORFORK
Mailing Address - State:AR
Mailing Address - Zip Code:72658-8937
Mailing Address - Country:US
Mailing Address - Phone:870-656-9670
Mailing Address - Fax:
Practice Address - Street 1:1003 N MAIN ST
Practice Address - Street 2:
Practice Address - City:HARRISON
Practice Address - State:AR
Practice Address - Zip Code:72601-2517
Practice Address - Country:US
Practice Address - Phone:866-403-8476
Practice Address - Fax:870-424-9061
Is Sole Proprietor?:No
Enumeration Date:2012-02-22
Last Update Date:2021-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARP1412105101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health