Healthcare Provider Details

I. General information

NPI: 1811826225
Provider Name (Legal Business Name): HARRISON COUNSELING, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/14/2026
Last Update Date: 05/14/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1125 OAK ST STE 304
CONWAY AR
72032-4359
US

IV. Provider business mailing address

1055 CHAMPIONS DR
CONWAY AR
72034-8291
US

V. Phone/Fax

Practice location:
  • Phone: 501-291-0512
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: MELISSA HARRISON
Title or Position: MANAGING MEMBER
Credential:
Phone: 352-514-1680