Healthcare Provider Details

I. General information

NPI: 1538268081
Provider Name (Legal Business Name): JAYMIE FRANCES HOPKINS LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/21/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

623 N 9TH STREET
AUGUSTA AR
72006
US

IV. Provider business mailing address

1668 MISSILE BASE RD
JUDSONIA AR
72081-9167
US

V. Phone/Fax

Practice location:
  • Phone: 870-347-3254
  • Fax: 870-347-1102
Mailing address:
  • Phone: 501-729-4676
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number1692-C
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: