Individual
KAYSI SMOTHERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHP, RN
Contact information
Practice address
823 N MAIN ST, HARRISON, AR 72601-2914
(870) 741-2960
(870) 741-2965
Mailing address
107 E CRANDALL AVE, HARRISON, AR 72601-3629
(870) 741-8484
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
R091028
AR
163WP0808X
Psychiatric/Mental Health Registered Nurse
R091028
AR
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
07/22/2013
Last updated
11/13/2014
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