Healthcare Provider Details

I. General information

NPI: 1073977203
Provider Name (Legal Business Name): AMY YANG LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: AMY SNODGRASS

II. Dates (important events)

Enumeration Date: 04/13/2016
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1820 CENTRAL AVE STE H
HOT SPRINGS AR
71901-6898
US

IV. Provider business mailing address

167 UNITY LN
BISMARCK AR
71929-7202
US

V. Phone/Fax

Practice location:
  • Phone: 501-781-2230
  • Fax:
Mailing address:
  • Phone: 870-260-9472
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberP2203008
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: