Individual
AMANDA THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
QBHP
Contact information
Practice address
2711 W KINGSHIGHWAY STE 6, PARAGOULD, AR 72450-2645
(870) 215-0673
(870) 215-0683
Mailing address
3305 E HIGHLAND DR STE B, JONESBORO, AR 72401-6491
(870) 520-5014
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1538486618
—
AR
05
—
181698795
—
AR
Enumeration date
04/28/2010
Last updated
08/08/2025
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