Provider Demographics
NPI:1073971255
Name:VANWIE, MOLLY ANN (LPC)
Entity Type:Individual
Prefix:
First Name:MOLLY
Middle Name:ANN
Last Name:VANWIE
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 1:2213 N REYNOLDS RD STE 1
Mailing Address - Street 2:
Mailing Address - City:BRYANT
Mailing Address - State:AR
Mailing Address - Zip Code:72022-2501
Mailing Address - Country:US
Mailing Address - Phone:501-847-0081
Mailing Address - Fax:501-847-6905
Practice Address - Street 1:2213 N REYNOLDS RD STE 1
Practice Address - Street 2:
Practice Address - City:BRYANT
Practice Address - State:AR
Practice Address - Zip Code:72022-2501
Practice Address - Country:US
Practice Address - Phone:501-847-0081
Practice Address - Fax:501-847-6905
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-03
Last Update Date:2019-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARP1901009101YM0800X
103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst