Provider Demographics
NPI:1629877931
Name:ULTIMATE EQUALITY BEHAVIORAL HEALTHY PLLC
Entity type:Organization
Organization Name:ULTIMATE EQUALITY BEHAVIORAL HEALTHY PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:APRN, PMHNP-BC
Authorized Official - Prefix:
Authorized Official - First Name:STACEY
Authorized Official - Middle Name:L
Authorized Official - Last Name:HUGHES
Authorized Official - Suffix:
Authorized Official - Credentials:MSN, APRN, PMHNP-BC
Authorized Official - Phone:716-226-0004
Mailing Address - Street 1:10201 W MARKHAM ST STE 321
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72205-2191
Mailing Address - Country:US
Mailing Address - Phone:501-440-4148
Mailing Address - Fax:
Practice Address - Street 1:10201 W MARKHAM ST STE 321
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205-2191
Practice Address - Country:US
Practice Address - Phone:716-226-0004
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-10
Last Update Date:2025-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty