Healthcare Provider Details
I. General information
NPI: 1477051654
Provider Name (Legal Business Name): LIFE WITHIN COUNSELING GROUP, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/23/2018
Last Update Date: 08/28/2025
Certification Date: 08/28/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
106 N PECAN ST
BEEBE AR
72012-2524
US
IV. Provider business mailing address
106 N PECAN ST
BEEBE AR
72012-2524
US
V. Phone/Fax
- Phone: 501-434-0000
- Fax: 501-242-0820
- Phone: 501-434-0000
- Fax: 501-242-0820
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | P1412126 |
| License Number State | AR |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | P1412126 |
| License Number State | AR |
VIII. Authorized Official
Name:
THOMAS
DALE
RITCHIE
JR.
Title or Position: OWNER/THERAPIST
Credential: LPC
Phone: 501-434-0000