Individual provider · Type 1 NPI

Amanda Davis, LPC

Mental Health Counselor · Russellville, AR

NPI number 1124459235 Active

Practice location

1310 W Main St Ste 100
Russellville, AR 72801-2803

Fax (479) 219-9425

Mailing address

1310 W Main St Ste 201
Russellville, AR 72801-2803

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XA1509118 (AR)

Mental Health Counselor: Definition to come...

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About NPI 1124459235

Amanda Davis, LPC's National Provider Identifier is 1124459235, issued on Nov 29, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Russellville, AR. The record was last updated on Apr 22, 2026.