Zachary Mitchell Ward, LAC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

A2310014 Issued in AR

Practice address

1055 Sunflower Dr Ste 104
Conway, AR 72034-3651

Phone

(501) 697-6631

Fax

(479) 434-6248

NPI assigned

Oct 18, 2023

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Harbor House Incorporated of Fort Smith Arkansas

  • Substance Abuse Rehabilitation Facility
  • Fort Smith, AR
  • NPI 1922166123
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1697587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697587200000",
    "number": "1154103752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 S 21ST ST",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729013915",
            "telephone_number": "479-785-4083",
            "fax_number": "479-434-6248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 SUNFLOWER DR STE 104",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720343651",
            "telephone_number": "501-697-6631",
            "fax_number": "479-434-6248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARD",
        "first_name": "ZACHARY",
        "middle_name": "MITCHELL",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-10-18",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AR",
            "license": "A2310014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bailey Ward
• Joshua L. Ward, M.D.
• Laura Ward, PT
• Mary Elizabeth Ward, ST
• Wesley Ward, APN
• Erika Ware
• Stephanie Quinn Warner, OTR/L
• Christen Warnock, LPC
• Ladonna Danielle Warren, LAC
• Leigh Ann Warriner, MMT

• Counselor in Conway, AR
• Providers in Conway, AR by specialty
• Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.