Basic Information
| Provider Information | |||||||||
| NPI: | 1093283293 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | LAW | ||||||||
| FirstName: | SARAH | ||||||||
| MiddleName: | |||||||||
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| Credential: | LCSW | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2110 HIGDON FERRY RD STE D | ||||||||
| Address2: | |||||||||
| City: | HOT SPRINGS | ||||||||
| State: | AR | ||||||||
| PostalCode: | 719137288 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5012622544 | ||||||||
| FaxNumber: | 5012622544 | ||||||||
| Practice Location | |||||||||
| Address1: | 2110 HIGDON FERRY RD STE D | ||||||||
| Address2: | |||||||||
| City: | HOT SPRINGS | ||||||||
| State: | AR | ||||||||
| PostalCode: | 719137288 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5012622544 | ||||||||
| FaxNumber: | 5012622544 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/06/2018 | ||||||||
| LastUpdateDate: | 02/03/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 02/03/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 104100000X | 8804-M | AR | N | Behavioral Health & Social Service Providers | Social Worker | 104100000X | 8804-C | AR | Y | Behavioral Health & Social Service Providers | Social Worker |
No ID Information.