Healthcare Provider Details

I. General information

NPI: 1760375844
Provider Name (Legal Business Name): MICHELLE ARROWOOD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/29/2025
Last Update Date: 04/23/2026
Certification Date: 04/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 KINGS DR
MAYFIELD KY
42066-3602
US

IV. Provider business mailing address

PO BOX 497
AUGUSTA AR
72006-0497
US

V. Phone/Fax

Practice location:
  • Phone: 270-804-7710
  • Fax: 270-804-7722
Mailing address:
  • Phone: 870-347-2534
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number260233
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: