IndividualActive
Amanda Willis, LPC
NPI 1407466923 · Professional Counselor · Mountain Home, AR
Provider details
- NPI number
- 1407466923
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Credential
- LPC
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
400 S College
Ste 2
Mountain Home, AR 72653-3143
Phone: (870) 425-1041
Fax: (870) 425-1049
Approximate (ZIP-level) locationGet directions
Mailing address
1815 Pleasant Grove Rd
Jonesboro, AR 72405-7870
Registry dates
- Enumerated
- 2020-08-10
- Last updated
- 2023-12-29
- Certified
- 2020-08-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.