Tracy Tullos Southern Therapy Specialists
NPI 1114394285ActiveOrganization· Social Worker, Clinical· Russellville, AR
Social Worker, Clinical in Russellville, Arkansas, registered in NPPES in August 2015. The authorized official on file is Tracy Tullos, LCSW, Owner.
Overview
| NPI | 1114394285 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 25, 2015 |
| Last updated in NPPES | Oct 28, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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