Healthcare Provider Details

I. General information

NPI: 1750899365
Provider Name (Legal Business Name): HOUSLEY & REAVES, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/17/2018
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1730 SE MOBERLY LN STE 5
BENTONVILLE AR
72712-7643
US

IV. Provider business mailing address

1730 SE MOBERLY LN STE 5
BENTONVILLE AR
72712-7643
US

V. Phone/Fax

Practice location:
  • Phone: 479-530-2545
  • Fax:
Mailing address:
  • Phone: 479-530-2545
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name: KATHLEEN HOUSLEY
Title or Position: PARTNER
Credential: LPC, LADAC,MAC, CSA
Phone: 479-530-2545