Provider Demographics
NPI:1659940617
Name:SWEEDEN, ASHLEY DAWN (LAC)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:DAWN
Last Name:SWEEDEN
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1343 GREEN PLAINS RD
Mailing Address - Street 2:
Mailing Address - City:DIERKS
Mailing Address - State:AR
Mailing Address - Zip Code:71833-8822
Mailing Address - Country:US
Mailing Address - Phone:870-200-2510
Mailing Address - Fax:
Practice Address - Street 1:509 S MAIN ST
Practice Address - Street 2:
Practice Address - City:HOPE
Practice Address - State:AR
Practice Address - Zip Code:71801-5207
Practice Address - Country:US
Practice Address - Phone:870-474-5001
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-23
Last Update Date:2025-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARA2507005101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health