Healthcare Provider Details

I. General information

NPI: 1033768734
Provider Name (Legal Business Name): CATALYST COUNSELING, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/05/2019
Last Update Date: 06/06/2025
Certification Date: 06/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1111 HARRISON ST
CONWAY AR
72032-4339
US

IV. Provider business mailing address

5 RED BUD DR
CONWAY AR
72034-6119
US

V. Phone/Fax

Practice location:
  • Phone: 501-500-4114
  • Fax: 501-764-4555
Mailing address:
  • Phone: 870-615-2816
  • Fax: 501-764-4555

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MAUREEN SKINNER
Title or Position: OWNER
Credential: LPE-I
Phone: 870-615-2816