Healthcare Provider Details

I. General information

NPI: 1245662311
Provider Name (Legal Business Name): WHITNEY ANNETTE CAUSEY LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/31/2013
Last Update Date: 07/31/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2126 N. 1ST STREET SUITE F
JACKSONVILLE AR
72076
US

IV. Provider business mailing address

1815 PLEASANT GROVE ROAD
JONESBORO AR
72404
US

V. Phone/Fax

Practice location:
  • Phone: 501-982-5000
  • Fax: 501-982-5007
Mailing address:
  • Phone: 870-933-6886
  • Fax: 870-933-9395

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: