Healthcare Provider Details

I. General information

NPI: 1942110077
Provider Name (Legal Business Name): CHELSEA B SMITH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/10/2026
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 SW BROAD ST
HOXIE AR
72433-2419
US

IV. Provider business mailing address

1600 SW BROAD ST
HOXIE AR
72433-2419
US

V. Phone/Fax

Practice location:
  • Phone: 870-637-1800
  • Fax: 877-447-5311
Mailing address:
  • Phone: 870-637-1800
  • Fax: 877-447-5311

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: