Healthcare Provider Details

I. General information

NPI: 1427206374
Provider Name (Legal Business Name): CYNTHIA DAWN HAMPTON LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CYNTHIA DAWN MORGAN LPC

II. Dates (important events)

Enumeration Date: 09/04/2008
Last Update Date: 03/25/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

807 W MAIN ST
TRUMANN AR
72472-2611
US

IV. Provider business mailing address

2707 BROWNS LN
JONESBORO AR
72401-7213
US

V. Phone/Fax

Practice location:
  • Phone: 870-972-4939
  • Fax: 870-972-4911
Mailing address:
  • Phone: 870-972-4939
  • Fax: 870-972-4911

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberP1006045
License Number StateAR
# 2
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberA0702019
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: