Healthcare Provider Details

I. General information

NPI: 1730905514
Provider Name (Legal Business Name): ENLIGHTENED COUNSELING PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/26/2024
Last Update Date: 12/22/2025
Certification Date: 12/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1517 CALDWELL ST STE 2
CONWAY AR
72034-5240
US

IV. Provider business mailing address

1517 CALDWELL ST STE 2
CONWAY AR
72034-5240
US

V. Phone/Fax

Practice location:
  • Phone: 501-328-8320
  • Fax:
Mailing address:
  • Phone: 501-328-8320
  • Fax:

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: JULIANNE SMITH
Title or Position: OWNER
Credential: LPC
Phone: 870-692-9169