Provider Demographics
NPI:1942612700
Name:SENGEL, VYVYJANE P (LPC)
Entity Type:Individual
Prefix:
First Name:VYVYJANE
Middle Name:P
Last Name:SENGEL
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 1:16135 HIGHWAY 71 S
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD
Mailing Address - State:AR
Mailing Address - Zip Code:72936-7218
Mailing Address - Country:US
Mailing Address - Phone:479-996-5433
Mailing Address - Fax:479-996-0438
Practice Address - Street 1:16135 HIGHWAY 71 S
Practice Address - Street 2:
Practice Address - City:GREENWOOD
Practice Address - State:AR
Practice Address - Zip Code:72936-7218
Practice Address - Country:US
Practice Address - Phone:479-996-5433
Practice Address - Fax:479-996-0438
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-28
Last Update Date:2023-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARA1911166101YM0800X
171M00000X
ARP2112016101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No171M00000XOther Service ProvidersCase Manager/Care Coordinator