Individual provider · Type 1 NPI

Sidney Icenhower

Mental Health Counselor · Russellville, AR

NPI number 1750234845 Active

Practice location

1310 W Main St Ste 100
Russellville, AR 72801-2803

Call (479) 968-2001 Map

Mailing address

1310 W Main St Ste 201
Russellville, AR 72801-2803

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XA2602019 (AR)

Mental Health Counselor: Definition to come...

28 other providers at this address

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About NPI 1750234845

Sidney Icenhower's National Provider Identifier is 1750234845, issued on Feb 18, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Russellville, AR. The record was last updated on Feb 18, 2026.