| Doctor Name: | PAHULEESEE L XAIYASANG |
| NPI Number: | 1184660631 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC |
| License Number: | P1304046 |
| Business Practice Address: | 827 W Harvard St Siloam Springs, AR - 727614013 |
| Business Phone Number: | 4795493121 |
| Business Fax Number: | 4797504843 |
| Mailing Address: | 2400 S 48th St, SPRINGDALE |
| State: | AR |
| Postal Code: | 727626683 |
| Phone Number: | 4797502020 |
| Fax Number: | 4797504843 |
| NPI Enumeration Date: | 06/22/2006 |
| NPI Last Update Date: | 05/25/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | P1304046 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AR |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |