Provider Demographics
NPI:1598859050
Name:COLE, MARGARET H (LPEI)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:H
Last Name:COLE
Suffix:
Gender:F
Credentials:LPEI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2129
Mailing Address - Street 2:
Mailing Address - City:BENTON
Mailing Address - State:AR
Mailing Address - Zip Code:72018-2129
Mailing Address - Country:US
Mailing Address - Phone:501-205-4570
Mailing Address - Fax:888-305-8084
Practice Address - Street 1:4702 W COMMERCIAL DR STE B3
Practice Address - Street 2:
Practice Address - City:NORTH LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72116-7073
Practice Address - Country:US
Practice Address - Phone:501-205-4570
Practice Address - Fax:888-305-8084
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-02
Last Update Date:2023-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
02-07EI103T00000X, 103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist