Healthcare Provider Details

I. General information

NPI: 1245144849
Provider Name (Legal Business Name): ABIGAIL ANTHONY LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/30/2026
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1507 S 1ST ST
MC GEHEE AR
71654-2929
US

IV. Provider business mailing address

5 PLAINVIEW DR
MC GEHEE AR
71654-1813
US

V. Phone/Fax

Practice location:
  • Phone: 870-690-4455
  • Fax:
Mailing address:
  • Phone: 870-222-7427
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number28613-M
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: