Healthcare Provider Details

I. General information

NPI: 1316867880
Provider Name (Legal Business Name): AXIS PSYCHIATRIC GROUP PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/16/2026
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5204 FRESNO ST
FORT SMITH AR
72903
US

IV. Provider business mailing address

900 SE 5TH ST STE 22 PMB #41
BENTONVILLE AR
72712-6090
US

V. Phone/Fax

Practice location:
  • Phone: 479-600-6140
  • Fax:
Mailing address:
  • Phone: 479-252-9467
  • Fax: 479-370-3653

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DR. LAUREN HOPE ANDREWS
Title or Position: FOUNDER/ PROVIDER
Credential: DNP, PMHNP-C, FNP-C
Phone: 918-575-5878