Healthcare Provider Details
I. General information
NPI: 1427680305
Provider Name (Legal Business Name): HOPE ARISING COUNSELING, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/07/2020
Last Update Date: 03/19/2024
Certification Date: 03/19/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4055 SERAPH DR STE 5
CONWAY AR
72034-3536
US
IV. Provider business mailing address
4940 SHEPHERDS CREEK DR APT 1
CONWAY AR
72034-9255
US
V. Phone/Fax
- Phone: 501-428-4010
- Fax: 501-214-6866
- Phone: 501-428-4010
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QM0850X |
| Taxonomy | Adult Mental Health Clinic/Center |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QM0855X |
| Taxonomy | Adolescent and Children Mental Health Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ADREA
JANETTE
JONES
Title or Position: LICENSED PROFESSIONAL COUNSELOR
Credential: LPC
Phone: 501-428-4010