AMANDA L DAVIS LAC
NPI 1144613472
Counselor - Professional in Jacksonville, AR
Active since March 11, 2015
2126 N 1ST ST STE F, JACKSONVILLE, AR 72076(501) 982-5000(501) 982-5007 Get Directions Write a Review
About Amanda L Davis Lac NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AMANDA L DAVIS LAC (NPI 1144613472) is an individual professional provider in Jacksonville, Arkansas, licensed in Arkansas (A1610130) and active in the NPI registry since March 2015.
NPPES Registry Identity
NPI1144613472
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameAMANDA L DAVISCredential: LAC
Location Address2126 N 1ST ST STE FJacksonville, AR 72076-2868
Mailing Address1815 Pleasant Grove RdJonesboro, AR 72401-7870 · (870) 933-6886 · Fax (870) 933-9395
Phone(501) 982-5000
Fax(501) 982-5007
Sole ProprietorNo
Enumeration DateMarch 11, 2015
Last NPPES UpdateMay 14, 2018
✔ NPI 1144613472 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses 2
★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in AR · A1610130
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
2126 N 1ST ST STE F, Jacksonville, AR 72076
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
Case Manager/Care Coordinator
2126 N 1ST ST STE F
JACKSONVILLE, AR 72076
JACKSONVILLE, AR 72076
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1144613472, enumerated as an "individual" on March 11, 2015.
The provider is located at 2126 N 1ST ST STE F JACKSONVILLE, AR 72076 and the phone number is (501) 982-5000.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
