Healthcare Provider Details

I. General information

NPI: 1184964702
Provider Name (Legal Business Name): KATIE DANIELLE POWELL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/19/2013
Last Update Date: 10/01/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18010 OZARKA COLLEGE DR
MOUNTAIN VIEW AR
72560
US

IV. Provider business mailing address

4301 W MARKHAM ST # 783
LITTLE ROCK AR
72205-7101
US

V. Phone/Fax

Practice location:
  • Phone: 870-269-2110
  • Fax: 870-269-2923
Mailing address:
  • Phone: 501-686-8000
  • Fax: 501-526-5601

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License Number
License Number StateAR
# 2
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSP4047
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: