| Doctor Name: | THERESA ANNETTE GINN |
| NPI Number: | 1306924667 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN |
| License Number: | R40749 |
| Business Practice Address: | 422 N Sebastian West Helena, AR - 723901935 |
| Business Phone Number: | 8705721800 |
| Business Fax Number: | 8705721809 |
| Mailing Address: | 426 Phillips Road 210, LEXA |
| State: | AR |
| Postal Code: | 723558818 |
| Phone Number: | 8709950245 |
| Fax Number: | |
| NPI Enumeration Date: | 11/02/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | R40749 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AR |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |