Provider Demographics
NPI:1033280391
Name:HOWARTH-REYNOLDS, DEANNA KAY (MS,MAC,LMFT)
Entity Type:Individual
Prefix:
First Name:DEANNA
Middle Name:KAY
Last Name:HOWARTH-REYNOLDS
Suffix:
Gender:F
Credentials:MS,MAC,LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 E 5TH ST
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN HOME
Mailing Address - State:AR
Mailing Address - Zip Code:72653-3809
Mailing Address - Country:US
Mailing Address - Phone:870-425-2030
Mailing Address - Fax:870-425-7030
Practice Address - Street 1:15 E 5TH ST
Practice Address - Street 2:
Practice Address - City:MOUNTAIN HOME
Practice Address - State:AR
Practice Address - Zip Code:72653-3809
Practice Address - Country:US
Practice Address - Phone:870-425-2030
Practice Address - Fax:870-425-7030
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-10
Last Update Date:2013-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARM9806029106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist