Healthcare Provider Details

I. General information

NPI: 1912648049
Provider Name (Legal Business Name): EMILY POINTER LAC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: EMILY BAYMON

II. Dates (important events)

Enumeration Date: 04/05/2022
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2708 S 48TH ST
SPRINGDALE AR
72762-6809
US

IV. Provider business mailing address

1722 N COLLEGE AVE STE C162
FAYETTEVILLE AR
72703-2605
US

V. Phone/Fax

Practice location:
  • Phone: 479-222-0673
  • Fax:
Mailing address:
  • Phone: 479-222-0673
  • Fax: 479-222-0673

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberA2003060
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: