Provider Demographics
NPI:1689853772
Name:GROOVER, MARCELLA ANNE (LPC)
Entity type:Individual
Prefix:MRS
First Name:MARCELLA
Middle Name:ANNE
Last Name:GROOVER
Suffix:
Gender:
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3901 W FINANCIAL PKWY STE 101
Mailing Address - Street 2:
Mailing Address - City:ROGERS
Mailing Address - State:AR
Mailing Address - Zip Code:72758-1471
Mailing Address - Country:US
Mailing Address - Phone:479-986-8655
Mailing Address - Fax:479-633-9398
Practice Address - Street 1:3901 W FINANCIAL PKWY STE 101
Practice Address - Street 2:
Practice Address - City:ROGERS
Practice Address - State:AR
Practice Address - Zip Code:72758-1471
Practice Address - Country:US
Practice Address - Phone:479-986-8655
Practice Address - Fax:479-633-9398
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-25
Last Update Date:2025-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARP1303021101YP2500X
ARA1007084101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional