Healthcare Provider Details

I. General information

NPI: 1073472890
Provider Name (Legal Business Name): ANDERSON & JONES THERAPEUTIC SERVICES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/19/2026
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

205 PROGRESS WAY SUITE 200 OFFICE 206
BRYANT AR
72022-8802
US

IV. Provider business mailing address

205 PROGRESS WAY SUITE 200 OFFICE 206
BRYANT AR
72022-8802
US

V. Phone/Fax

Practice location:
  • Phone: 501-946-6711
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: DILLON MASSEY
Title or Position: OWNER
Credential: LCSW
Phone: 501-946-6711