Healthcare Provider Details

I. General information

NPI: 1033458716
Provider Name (Legal Business Name): KENDYL DAWN HOVIS MS, LPC-S
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: KENDYL DAWN TINSLEY

II. Dates (important events)

Enumeration Date: 01/31/2013
Last Update Date: 02/05/2025
Certification Date: 02/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2700 SE OTIS CORLEY DR STE 14
BENTONVILLE AR
72712-4184
US

IV. Provider business mailing address

2700 SE OTIS CORLEY DR STE 14
BENTONVILLE AR
72712-4184
US

V. Phone/Fax

Practice location:
  • Phone: 479-895-1313
  • Fax: 479-397-4813
Mailing address:
  • Phone: 479-895-1313
  • Fax: 479-397-4813

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberP1804049
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: