Provider Demographics
NPI:1386282309
Name:STONE, HANNAH MORGAN (LAC)
Entity type:Individual
Prefix:
First Name:HANNAH
Middle Name:MORGAN
Last Name:STONE
Suffix:
Gender:F
Credentials:LAC
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 11064
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72703-1001
Mailing Address - Country:US
Mailing Address - Phone:870-520-5014
Mailing Address - Fax:870-520-5015
Practice Address - Street 1:3305 E HIGHLAND DR STE B
Practice Address - Street 2:
Practice Address - City:JONESBORO
Practice Address - State:AR
Practice Address - Zip Code:72401-6491
Practice Address - Country:US
Practice Address - Phone:870-520-5014
Practice Address - Fax:870-520-5015
Is Sole Proprietor?:No
Enumeration Date:2019-12-20
Last Update Date:2025-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARA2504001101YM0800X
171M00000X, 373H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No171M00000XOther Service ProvidersCase Manager/Care Coordinator
No373H00000XNursing Service Related ProvidersDay Training/Habilitation Specialist