Healthcare Provider Details

I. General information

NPI: 1811385164
Provider Name (Legal Business Name): LAUREN MCCOY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: LAUREN JONES

II. Dates (important events)

Enumeration Date: 01/08/2015
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

214 HOPE LANDING RD
EL DORADO AR
71730-8725
US

IV. Provider business mailing address

17706 I 30 STE 3
BENTON AR
72019-2930
US

V. Phone/Fax

Practice location:
  • Phone: 870-814-9229
  • Fax:
Mailing address:
  • Phone: 501-315-4414
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: