| Doctor Name: | MRS. AMANDA G OWENS |
| NPI Number: | 1467643783 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSW, LCSW |
| License Number: | 1868-C |
| Business Practice Address: | 109 N Hazen Ave Hazen, AR - 72064 |
| Business Phone Number: | 8702553527 |
| Business Fax Number: | 8702553528 |
| Mailing Address: | 650 S Shackleford Rd, Suite 217 LITTLE ROCK |
| State: | AR |
| Postal Code: | 722113522 |
| Phone Number: | 5012211843 |
| Fax Number: | 5012212376 |
| NPI Enumeration Date: | 08/05/2007 |
| NPI Last Update Date: | 08/05/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 1868-C |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AR |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |