IndividualActive
Amanda Davis, LAC
NPI 1144613472 · Professional Counselor · Jacksonville, AR
Provider details
- NPI number
- 1144613472
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Credential
- LAC
- Sex
- Female
- Sole proprietor
- No
- License
- A1610130 (AR)
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Case Manager/Care Coordinator171M00000X
Other Service Providers
Practice location
2126 N 1st St Ste F
Jacksonville, AR 72076-2868
Phone: (501) 982-5000
Fax: (501) 982-5007
Approximate (ZIP-level) locationGet directions
Mailing address
1815 Pleasant Grove Rd
Jonesboro, AR 72401-7870
Registry dates
- Enumerated
- 2015-03-11
- Last updated
- 2018-05-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.