Provider Demographics
NPI:1508324724
Name:OWENS, RODNEY HEATH (LCSW)
Entity Type:Individual
Prefix:
First Name:RODNEY
Middle Name:HEATH
Last Name:OWENS
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 W RACE AVE STE 6
Mailing Address - Street 2:
Mailing Address - City:SEARCY
Mailing Address - State:AR
Mailing Address - Zip Code:72143-4237
Mailing Address - Country:US
Mailing Address - Phone:501-593-1250
Mailing Address - Fax:501-825-4410
Practice Address - Street 1:120 W RACE AVE STE 6
Practice Address - Street 2:
Practice Address - City:SEARCY
Practice Address - State:AR
Practice Address - Zip Code:72143-4237
Practice Address - Country:US
Practice Address - Phone:501-593-1250
Practice Address - Fax:501-825-4410
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-06
Last Update Date:2023-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR104100000X
AR8450-C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker