Healthcare Provider Details

I. General information

NPI: 1285941716
Provider Name (Legal Business Name): RECHELE ANNETTE MAYS LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/03/2010
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

575A HARKRIDER ST
CONWAY AR
72032-5631
US

IV. Provider business mailing address

PO BOX 414
GREENBRIER AR
72058-0414
US

V. Phone/Fax

Practice location:
  • Phone: 501-679-0232
  • Fax:
Mailing address:
  • Phone: 501-679-0232
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberASW74480
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number11339-C
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: