Provider Demographics
NPI:1124900154
Name:BLISS, ABIGAIL FAELON (LAC)
Entity type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:FAELON
Last Name:BLISS
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:ABIGAIL
Other - Middle Name:FAELON
Other - Last Name:POWELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2400 S 48TH ST
Mailing Address - Street 2:
Mailing Address - City:SPRINGDALE
Mailing Address - State:AR
Mailing Address - Zip Code:72762-6683
Mailing Address - Country:US
Mailing Address - Phone:479-750-2020
Mailing Address - Fax:
Practice Address - Street 1:827 W HARVARD ST
Practice Address - Street 2:
Practice Address - City:SILOAM SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:72761-4013
Practice Address - Country:US
Practice Address - Phone:479-549-3121
Practice Address - Fax:479-549-3109
Is Sole Proprietor?:No
Enumeration Date:2025-07-22
Last Update Date:2025-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARA2507011101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health