Provider Demographics
NPI:1831384833
Name:STEVENS, DAWNA BISHOP (LCSW, LADAC, SAP)
Entity type:Individual
Prefix:
First Name:DAWNA BISHOP
Middle Name:
Last Name:STEVENS
Suffix:
Gender:F
Credentials:LCSW, LADAC, SAP
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 10348
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72703-0041
Mailing Address - Country:US
Mailing Address - Phone:479-422-2280
Mailing Address - Fax:479-616-1618
Practice Address - Street 1:1130 E MILLSAP RD
Practice Address - Street 2:BALANCE ROAD CTR FOR COUNSELING & SW--BASEMENT STE
Practice Address - City:FAYETTEVILLE
Practice Address - State:AR
Practice Address - Zip Code:72703-5150
Practice Address - Country:US
Practice Address - Phone:479-422-2280
Practice Address - Fax:479-616-1618
Is Sole Proprietor?:No
Enumeration Date:2007-09-12
Last Update Date:2011-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR0252L101YA0400X
AR2535-C1041C0700X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health