Provider Demographics
NPI:1922802784
Name:ARGUETA, KATIE (LAC)
Entity type:Individual
Prefix:
First Name:KATIE
Middle Name:
Last Name:ARGUETA
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:805 N 20TH PL STE 1
Mailing Address - Street 2:
Mailing Address - City:ROGERS
Mailing Address - State:AR
Mailing Address - Zip Code:72756-3571
Mailing Address - Country:US
Mailing Address - Phone:479-480-5546
Mailing Address - Fax:
Practice Address - Street 1:805 N 20TH PL STE 1
Practice Address - Street 2:
Practice Address - City:ROGERS
Practice Address - State:AR
Practice Address - Zip Code:72756-3571
Practice Address - Country:US
Practice Address - Phone:479-480-5546
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-02
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARA2411009101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health