Healthcare Provider Details

I. General information

NPI: 1861302424
Provider Name (Legal Business Name): PLEASANT VALLEY COUNSELING AND WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/08/2026
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

606 W COMMERCE DR STE 101
BRYANT AR
72022-7514
US

IV. Provider business mailing address

606 W COMMERCE DR STE 101
BRYANT AR
72022-7514
US

V. Phone/Fax

Practice location:
  • Phone: 501-653-7792
  • Fax:
Mailing address:
  • Phone: 501-653-7792
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: BIANCA LYNN CARPENTER
Title or Position: OWNER
Credential: LPC
Phone: 432-924-8853