Individual
ANTOINETTE DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLPA, LAC
Contact information
Practice address
204 N RHODES ST, WEST MEMPHIS, AR 72301-3944
(870) 400-8080
(870) 400-8079
Mailing address
PO BOX 11064, FAYETTEVILLE, AR 72703-1001
(870) 520-5014
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A2503011
AR
2355S0801X
Speech-Language Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
187339721
—
AR
05
—
340579795
—
AR
Enumeration date
05/26/2011
Last updated
12/17/2025
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