Bonnie Fordham, LAC

Individual provider Active NPI Mental Health Counselor · Sheridan, AR

NPI 1851269799 · NPPES record last updated Oct 23, 2025

Key facts

NPI
1851269799
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
A2510030 (AR)
Practice address
1933 Shoemaker Rd Ste D
Sheridan, AR 72150-3000
Phone
(870) 917-2171
Fax
(870) 916-2161
NPI assigned
Oct 23, 2025
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
A2510030ARMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
BHC Pinnacle Pointe Hospital Current
since Nov 7, 2025
Accepting new patients

Locations

1933 Shoemaker Rd
Ste D
Sheridan, AR 72150
Phone (870) 917-2171

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X A2510030 AR Yes

Addresses

Primary practice location

1933 Shoemaker Rd Ste D
Sheridan, AR 72150-3000

Mailing address

1933 Shoemaker Rd Ste D
Sheridan, AR 72150-3000
Phone (870) 917-2171

Other providers in Sheridan, AR

All providers in Sheridan, AR · Mental Health Counselor in Arkansas

Sources for this page

Verify at the official NPI Registry.