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Johnnie Ezell

NPI 1437471299 · on the registry since 2010

Practice

Address
1200 W Walnut St
Suite 1500
Rogers, AR 72756
Phone
(479) 636-0083
Fax
(479) 636-0144
Organisation at this address
My Therapy Llc
Pt Concepts, Pllc
Sterling Yard, Inc.
Play Forward Counseling
Servant'S Heart Outreach
Inferred from a shared address, not stated in the registry.
Clinicians at this address
116

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Also registered as
101YP2500X
Licence states on file
MO, AR
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-10-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arkansas