Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tracy Tullos Southern Therapy Specialists

Organization Clinical Social Worker · NPI 1114394285

Tracy Tullos Southern Therapy Specialists provides Clinical Social Worker services in Russellville, Arkansas. Registered with an NPI since 2015.

In the registry since
2015

Practice location Address checks out

701 E Main St Ste 2
Russellville, AR 72801-5247 Not confirmed with CMS for 10 years — call before visiting
Phone: (479) 576-2799
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1114394285
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tracy Tullos — Owner · (479) 576-2799
NPI enumeratedAugust 25, 2015
Last updated in NPPESOctober 28, 2015
Mailing addressPo Box 9178, Russellville, AR 72811-9178

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