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 is a Clinical Social Worker 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
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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