Basic Information
| Provider Information | |||||||||
| NPI: | 1043297302 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | HOOK | ||||||||
| FirstName: | KAY | ||||||||
| MiddleName: | C | ||||||||
| NamePrefix: | MS. | ||||||||
| NameSuffix: | |||||||||
| Credential: | LCSW | ||||||||
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| Mailing Information | |||||||||
| Address1: | 602 N WALTON BLVD | ||||||||
| Address2: | |||||||||
| City: | BENTONVILLE | ||||||||
| State: | AR | ||||||||
| PostalCode: | 727124576 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4794641060 | ||||||||
| FaxNumber: | 4792716307 | ||||||||
| Practice Location | |||||||||
| Address1: | 106 RIDGEWAY ST STE H | ||||||||
| Address2: | |||||||||
| City: | HOT SPRINGS | ||||||||
| State: | AR | ||||||||
| PostalCode: | 719017157 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5016090400 | ||||||||
| FaxNumber: | 5016090166 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/28/2005 | ||||||||
| LastUpdateDate: | 07/15/2013 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101Y00000X | AR | N | Behavioral Health & Social Service Providers | Counselor | 1041C0700X | 1297-C | AR | Y | Behavioral Health & Social Service Providers | Social Worker | Clinical |
ID Information
| ID | Type | State | Issuer | Description | 71-0401764 | 01 | AR | CORPHEALTH | OTHER | 116399726 | 05 | AR | MEDICAID | 62102521 | 01 | AR | UNITED BEHAVIORAL HEALTH | OTHER | 185563 | 01 | AR | COMPSYCH | OTHER | 2159297 | 01 | AR | CIGNA BEHAVIORAL HEALTH | OTHER | 5T674 | 01 | AR | BLUE CROSS & BLUE SHIELD | OTHER | 232948 | 01 | AR | MHN NETWORK | OTHER | 3070016100 | 01 | AR | QUAL-CHOICE | OTHER | 297153000 | 01 | AR | MAGELLAN | OTHER | 60054 | 01 | AR | AETNA | OTHER | 337595 | 01 | AR | VALUE OPTIONS | OTHER | 946150 | 01 | AR | USA MANAGED CARE | OTHER |