Healthcare Provider Details

I. General information

NPI: 1902717275
Provider Name (Legal Business Name): DANA PAIGE CROWDER LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/15/2026
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1408 E 8TH ST
DANVILLE AR
72833-8013
US

IV. Provider business mailing address

PO BOX 679
MORRILTON AR
72110-0679
US

V. Phone/Fax

Practice location:
  • Phone: 479-495-5177
  • Fax: 479-495-5187
Mailing address:
  • Phone: 501-354-4589
  • Fax: 501-354-5410

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number28578-M
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: