Healthcare Provider Details

I. General information

NPI: 1790200616
Provider Name (Legal Business Name): JAMI LEE BEVER LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/11/2017
Last Update Date: 08/06/2025
Certification Date: 08/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1507 E. RACE ST.
SEARCY AR
72143-4661
US

IV. Provider business mailing address

175 BRITTANY LN
SENOIA GA
30276-1576
US

V. Phone/Fax

Practice location:
  • Phone: 501-305-2359
  • Fax: 501-305-2348
Mailing address:
  • Phone: 501-278-4028
  • Fax: 870-933-9395

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number6973-C
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: