Healthcare Provider Details

I. General information

NPI: 1891629838
Provider Name (Legal Business Name): EXPERIENCING CHANGE CONCIERGE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/12/2026
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

510 NE 3RD ST
ENGLAND AR
72046-1318
US

IV. Provider business mailing address

510 NE 3RD ST
ENGLAND AR
72046-1318
US

V. Phone/Fax

Practice location:
  • Phone: 501-563-8088
  • Fax:
Mailing address:
  • Phone: 501-563-8088
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: DOROTHY RENAA DAVIS
Title or Position: OWNER
Credential: LPN
Phone: 501-563-8088