MEDICARE: ALLISON MARIE FREEMAN LAC

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	A2408017	AR

General Provider Information

NPI Number	:	1396600086
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALLISON MARIE FREEMAN LAC

Provider Business Mailing Address
First Line	:	4094 BELL RD
Second Line	:
City	:	DES ARC
State	:	AR
Zip	:	72040-3171
Country	:	US
Telephone Number	:	479-430-0344
Fax Number	:

Provider Business Practice Location Address
First Line	:	2504 MCCAIN BLVD STE 200
Second Line	:
City	:	NORTH LITTLE ROCK
State	:	AR
Zip	:	72116-7612
Country	:	US
Telephone Number	:	501-781-2230
Fax Number	:

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

Provider Enumeration Date	:	12/16/2025
Last Update Date	:	12/16/2025

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