MEDICARE: SHAJORIAH BURNS

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
1	101YM0800X	Mental Health Counselor	A2203000	AR

General Provider Information

NPI Number	:	1144173725
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHAJORIAH BURNS

Provider Business Mailing Address
First Line	:	4900 WESTWOOD AVE
Second Line	:
City	:	LITTLE ROCK
State	:	AR
Zip	:	72204-8218
Country	:	US
Telephone Number	:	501-352-7663
Fax Number	:

Provider Business Practice Location Address
First Line	:	1501 N UNIVERSITY AVE STE 915
Second Line	:
City	:	LITTLE ROCK
State	:	AR
Zip	:	72207-5238
Country	:	US
Telephone Number	:	501-492-6860
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/16/2026
Last Update Date	:	02/16/2026

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Directions to “ SHAJORIAH BURNS ” Practice Location

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