Healthcare Provider Details

I. General information

NPI: 1720304926
Provider Name (Legal Business Name): JINNY ERIN RICHARDS LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JINNY ERIN PATTISON LPC

II. Dates (important events)

Enumeration Date: 04/13/2010
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4215 PRINCE ST
CONWAY AR
72034-9398
US

IV. Provider business mailing address

9701 W MARKHAM ST
LITTLE ROCK AR
72205-2123
US

V. Phone/Fax

Practice location:
  • Phone: 501-737-4320
  • Fax:
Mailing address:
  • Phone: 501-737-4320
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberP2606012
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: