Individual
EMILY A LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2205 PHYLLIS ST, BENTONVILLE, AR 72712-6490
(479) 725-6000
(479) 878-1966
Mailing address
2400 S 48TH ST, SPRINGDALE, AR 72762-6683
(479) 750-2020
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
12271-C
AR
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
08/11/2022
Last updated
09/22/2025
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