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NPI Code Detail

MEDICARE: MID STATE COUNSELING AND RECOVERY SERVICES

MEDICARE: MID STATE COUNSELING AND RECOVERY SERVICES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker

General Provider Information

NPI Number : 1114869492
Entity Type Code : Organization
Provider Name (Legal Business Name) : MID STATE COUNSELING AND RECOVERY SERVICES
Provider Business Mailing Address
First Line : 1920 MAIN ST
Second Line :
City : NORTH LITTLE ROCK
State : AR
Zip : 72114-2872
Country : US
Telephone Number : 501-351-3528
Fax Number :
Provider Business Practice Location Address
First Line : 1920 MAIN ST STE 229
Second Line :
City : NORTH LITTLE ROCK
State : AR
Zip : 72114-2875
Country : US
Telephone Number : 501-351-3528
Fax Number :
Authorized Official
Title or Position : OWNER
Name : SAMUEL EDWARD ADKINS
Credential : LCSW
Telephone Number : 501-351-3528
Provider Enumeration Date : 04/07/2026
Last Update Date : 04/07/2026

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Directions to “MID STATE COUNSELING AND RECOVERY SERVICES ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.