IndividualActive
Tonya Tidwell, LAC
NPI 1659623833 · Professional Counselor · Conway, AR
Provider details
- NPI number
- 1659623833
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Credential
- LAC
- Sex
- Female
- Sole proprietor
- Yes
- License
- P2508009 (AR)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
- Case Manager/Care Coordinator171M00000X
Other Service Providers
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
800 Exchange Ave Ste 103
Conway, AR 72032-7833
Phone: (501) 781-2230
Fax: (870) 972-4911
Street-level locationGet directions
Mailing address
35 Goff St
Vilonia, AR 72173-9315
Additional practice locations (1)
- 1309 N Church StAtkins, AR 72823-3230Phone: (479) 641-0730Fax: (479) 641-0732
Registry dates
- Enumerated
- 2012-10-11
- Last updated
- 2025-08-21
- Certified
- 2025-08-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.