Healthcare Provider Details

I. General information

NPI: 1871118059
Provider Name (Legal Business Name): URA RESOURCE CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/12/2020
Last Update Date: 08/19/2025
Certification Date: 08/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 NORTHWOOD DR
CONWAY AR
72034-3410
US

IV. Provider business mailing address

25 NORTHWOOD DR
CONWAY AR
72034-3410
US

V. Phone/Fax

Practice location:
  • Phone: 501-291-8775
  • Fax:
Mailing address:
  • Phone: 501-291-8775
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number State

VIII. Authorized Official

Name: MRS. LATONYA RATESA BYNUM
Title or Position: HEALTH EDUCATOR
Credential: CHES
Phone: 501-291-8775