MEDICARE: AMY NEIGHBORS LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	P2212020	AR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1467947721
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMY NEIGHBORS LPC

Provider Business Mailing Address
First Line	:	PO BOX 1132
Second Line	:
City	:	MALVERN
State	:	AR
Zip	:	72104-1132
Country	:	US
Telephone Number	:	501-337-6703
Fax Number	:

Provider Business Practice Location Address
First Line	:	404 E PAGE AVE
Second Line	:
City	:	MALVERN
State	:	AR
Zip	:	72104-4248
Country	:	US
Telephone Number	:	501-492-9966
Fax Number	:	818-864-0043

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/28/2018
Last Update Date	:	03/10/2026

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Directions to “ AMY NEIGHBORS LPC” Practice Location

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