Healthcare Provider Details

I. General information

NPI: 1497784839
Provider Name (Legal Business Name): DONNA MARIE COPELAND LPC LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/30/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

710 S HOLLY ST
SILOAM SPRINGS AR
72761-3304
US

IV. Provider business mailing address

PO BOX 6430
SPRINGDALE AR
72766-6430
US

V. Phone/Fax

Practice location:
  • Phone: 479-750-2020
  • Fax: 479-524-5197
Mailing address:
  • Phone: 479-750-2020
  • Fax: 479-524-5197

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberP0205021
License Number StateAR
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberM0205001
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: