Provider Demographics
NPI:1033458716
Name:HOVIS, KENDYL DAWN (MS, LPC-S)
Entity type:Individual
Prefix:
First Name:KENDYL
Middle Name:DAWN
Last Name:HOVIS
Suffix:
Gender:F
Credentials:MS, LPC-S
Other - Prefix:
Other - First Name:KENDYL
Other - Middle Name:DAWN
Other - Last Name:TINSLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2700 SE OTIS CORLEY DR STE 14
Mailing Address - Street 2:
Mailing Address - City:BENTONVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72712-4184
Mailing Address - Country:US
Mailing Address - Phone:479-895-1313
Mailing Address - Fax:479-397-4813
Practice Address - Street 1:2700 SE OTIS CORLEY DR STE 14
Practice Address - Street 2:
Practice Address - City:BENTONVILLE
Practice Address - State:AR
Practice Address - Zip Code:72712-4184
Practice Address - Country:US
Practice Address - Phone:479-895-1313
Practice Address - Fax:479-397-4813
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-31
Last Update Date:2025-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARP1804049101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR231726719Medicaid
MO490082119Medicaid