Healthcare Provider Details

I. General information

NPI: 1265968093
Provider Name (Legal Business Name): MATTHEW HOWELL LCSW
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/11/2017
Last Update Date: 01/23/2025
Certification Date: 01/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

125 WELLNESS WAY
HOT SPRINGS AR
71913-6478
US

IV. Provider business mailing address

125 WELLNESS WAY
HOT SPRINGS AR
71913-6478
US

V. Phone/Fax

Practice location:
  • Phone: 501-624-7111
  • Fax:
Mailing address:
  • Phone: 501-624-7111
  • Fax: 501-620-5109

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number7885-C
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: