Individual provider · Type 1 NPI

Tonya Tidwell, LAC

Professional Counselor · Conway, AR

NPI number 1659623833 Active

Practice location

800 Exchange Ave Ste 103
Conway, AR 72032-7833

Call (501) 781-2230 Map

Fax (870) 972-4911

Mailing address

35 Goff St
Vilonia, AR 72173-9315

Other practice locations

  • 1309 N Church St, Atkins, AR 72823-3230 · (479) 641-0730

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500XP2508009 (AR)
Case Manager/Care Coordinator 171M00000XNone listed
Professional Counselor Primary 101YP2500XA2205009 (AR)

Professional Counselor: Definition to come...

4 other providers at this address

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About NPI 1659623833

Tonya Tidwell, LAC's National Provider Identifier is 1659623833, issued on Oct 11, 2012. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Conway, AR. The record was last updated on Aug 21, 2025.