Individual
TONYA ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
920 MEDICAL DR, MANILA, AR 72442-8416
(870) 570-0358
(870) 570-0359
Mailing address
920 MEDICAL DR, MANILA, AR 72442-8416
(870) 570-0358
(870) 570-0359
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
346365719
—
AR
Enumeration date
02/14/2022
Last updated
09/15/2025
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