Healthcare Provider Details

I. General information

NPI: 1689353229
Provider Name (Legal Business Name): HANNAH MARIE LAWREY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/12/2023
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2200 E MATTHEWS AVE
JONESBORO AR
72401-4347
US

IV. Provider business mailing address

276 SOUTHWEST DR
JONESBORO AR
72401-5829
US

V. Phone/Fax

Practice location:
  • Phone: 870-972-1268
  • Fax:
Mailing address:
  • Phone: 870-970-8150
  • Fax: 888-977-2956

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number12799-C
License Number StateAR
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: