NPI
Mystique Leigh Imler
NPI 1467840538
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Credential
- LPC
- Type
- Individual
- Enumeration date
- 2014-12-24
- Last updated
- 2020-05-27
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Specialties
Licenses
- License AR
- P1611172
Location
- Practice location
- 603 W Fleeman Ste 4
- City
- Manila AR
- Postal code
- 72442-9171
- Phone
- (870) 570-0358
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Manila, AR. 97 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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