Healthcare Provider Details

I. General information

NPI: 1396319703
Provider Name (Legal Business Name): JOSHUA S GARRETT-JONES LPC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/19/2021
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

924 VAN RONKLE ST STE 3
CONWAY AR
72032-4324
US

IV. Provider business mailing address

924 VAN RONKLE ST STE 3
CONWAY AR
72032-4324
US

V. Phone/Fax

Practice location:
  • Phone: 479-790-9307
  • Fax:
Mailing address:
  • Phone: 479-790-9307
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberP2412007
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: