Search › Arkansas › 1041C0700X
Brenton Ezell, LCSW
NPI 1003225301 · on the registry since 2014
Practice
- Address
- 111 S 3rd Ave
Piggott, AR 72454 - Phone
- (870) 598-0306
- Fax
- (870) 598-0328
- Organisation at this address
- Families, Inc. Of Arkansas
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 20
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 171M00000X
171M00000X - Licence states on file
- AR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-11-29
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