Healthcare Provider Details

I. General information

NPI: 1346552940
Provider Name (Legal Business Name): LAURIE ANN. JAMES LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LAURIE JAMES LCSW

II. Dates (important events)

Enumeration Date: 07/12/2010
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

711 BRADLEY DR
MOUNTAIN HOME AR
72653-2733
US

IV. Provider business mailing address

148 LEXINGTON DR
MOUNTAIN HOME AR
72653-6391
US

V. Phone/Fax

Practice location:
  • Phone: 870-656-6525
  • Fax:
Mailing address:
  • Phone: 870-656-6525
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number12822-C
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: