Provider Demographics
NPI:1649582701
Name:CONNER, SAVANNAH LUANNE (PHD, LPC)
Entity Type:Individual
Prefix:MRS
First Name:SAVANNAH
Middle Name:LUANNE
Last Name:CONNER
Suffix:
Gender:F
Credentials:PHD, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6815 ISAACS ORCHARD RD
Mailing Address - Street 2:SUITE B1
Mailing Address - City:SPRINGDALE
Mailing Address - State:AR
Mailing Address - Zip Code:72762-6324
Mailing Address - Country:US
Mailing Address - Phone:479-799-4729
Mailing Address - Fax:479-799-4720
Practice Address - Street 1:6815 ISAACS ORCHARD RD
Practice Address - Street 2:SUITE B1
Practice Address - City:SPRINGDALE
Practice Address - State:AR
Practice Address - Zip Code:72762-6324
Practice Address - Country:US
Practice Address - Phone:479-799-4729
Practice Address - Fax:479-799-4720
Is Sole Proprietor?:No
Enumeration Date:2010-07-06
Last Update Date:2015-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARP1302011101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional