Provider Demographics
NPI:1962630947
Name:CRAFT, BETH ANN LOUISE (MSW, LCSW)
Entity Type:Individual
Prefix:MS
First Name:BETH
Middle Name:ANN LOUISE
Last Name:CRAFT
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 251420
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72225-1420
Mailing Address - Country:US
Mailing Address - Phone:501-686-8000
Mailing Address - Fax:
Practice Address - Street 1:3604 CENTRAL AVE STE C
Practice Address - Street 2:
Practice Address - City:HOT SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:71913-6458
Practice Address - Country:US
Practice Address - Phone:501-623-9220
Practice Address - Fax:501-801-1816
Is Sole Proprietor?:No
Enumeration Date:2009-06-29
Last Update Date:2022-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT1222101YA0400X
CO5349101YA0400X
CO9928281041C0700X
AR7541-C1041C0700X
MT6501041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)