Healthcare Provider Details

I. General information

NPI: 1184552317
Provider Name (Legal Business Name): HEARTSPACE COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/09/2026
Last Update Date: 05/09/2026
Certification Date: 05/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

237 N OAK ST
BROOKLAND AR
72417-8948
US

IV. Provider business mailing address

717 MAIN STREET SUITE 600 PMB 1085
NORTH LITTLE ROCK AR
72114-4658
US

V. Phone/Fax

Practice location:
  • Phone: 501-398-2548
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: LAVATRIA WILLIAMSON
Title or Position: OWNER
Credential: LCSW
Phone: 501-398-2548