Individual provider · Type 1 NPI

Johnathan Shane Roach

Professional Counselor · Arkadelphia, AR

NPI number 1124755715 Active

Practice location

2607 Caddo St Ste 6
Arkadelphia, AR 71923-5307

Call (870) 230-8217 Map

Mailing address

10311 W Markham St
Little Rock, AR 72205-2135

Other practice locations

  • 321 E 13th St, Murfreesboro, AR 71958-9541 · (870) 285-3699

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500X91413 (TX)
Case Manager/Care Coordinator 171M00000XNone listed
Professional Counselor Primary 101YP2500XP2507012 (AR)

Professional Counselor: Definition to come...

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About NPI 1124755715

Johnathan Shane Roach's National Provider Identifier is 1124755715, issued on Aug 3, 2022. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Arkadelphia, AR. The record was last updated on Jul 22, 2025.