Individual
SAMANTHA ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1127 SECOND ST, LAKE VILLAGE, AR 71653-1541
(870) 265-3808
Mailing address
790 ROBERTS DR, MONTICELLO, AR 71655-5723
(870) 367-2461
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
AR
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
02/27/2024
Last updated
05/13/2026
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