Provider Demographics
NPI:1629723945
Name:REAMES, KRISTIE DAWN (LMSW)
Entity Type:Individual
Prefix:MRS
First Name:KRISTIE
Middle Name:DAWN
Last Name:REAMES
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 INDUSTRIAL DR
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN VIEW
Mailing Address - State:AR
Mailing Address - Zip Code:72560-8872
Mailing Address - Country:US
Mailing Address - Phone:870-269-6022
Mailing Address - Fax:
Practice Address - Street 1:301 INDUSTRIAL DR
Practice Address - Street 2:
Practice Address - City:MOUNTAIN VIEW
Practice Address - State:AR
Practice Address - Zip Code:72560-8872
Practice Address - Country:US
Practice Address - Phone:870-269-6022
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-15
Last Update Date:2022-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR9930-M101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health