Healthcare Provider Details

I. General information

NPI: 1215095211
Provider Name (Legal Business Name): AMY ELIZABETH HOOD LPE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/04/2006
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2605 SOUTHWEST SQ
JONESBORO AR
72401-5969
US

IV. Provider business mailing address

4105 CHAPEL HILL DR
JONESBORO AR
72404-9587
US

V. Phone/Fax

Practice location:
  • Phone: 870-938-1999
  • Fax:
Mailing address:
  • Phone: 870-938-1999
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number06-10E
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: