Healthcare Provider Details

I. General information

NPI: 1295324747
Provider Name (Legal Business Name): DAPHNE MCKEE LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/11/2021
Last Update Date: 09/20/2022
Certification Date: 09/20/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4001 COMMERCIAL CENTER DR STE 2
MARION AR
72364-9616
US

IV. Provider business mailing address

2809 FOREST HOME RD
JONESBORO AR
72401-5320
US

V. Phone/Fax

Practice location:
  • Phone: 870-732-7920
  • Fax: 870-732-7923
Mailing address:
  • Phone: 866-972-1268
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number10354-M
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: