Healthcare Provider Details

I. General information

NPI: 1275904302
Provider Name (Legal Business Name): EUGENIA MARKS LMSW, LADAC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/15/2015
Last Update Date: 03/26/2026
Certification Date: 03/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3623 JOHNSON MILL BLVD SUITE 103
SPRINGDALE AR
72762-6412
US

IV. Provider business mailing address

PO BOX 9541
FAYETTEVILLE AR
72703-0026
US

V. Phone/Fax

Practice location:
  • Phone: 479-435-4207
  • Fax: 479-935-3180
Mailing address:
  • Phone: 479-435-4207
  • Fax: 479-935-3180

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number12961-M
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: