Healthcare Provider Details
I. General information
NPI: 1073427191
Provider Name (Legal Business Name): PAWS AND PATHWAYS COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
13987 HICKORY TRCE
FAYETTEVILLE AR
72704-8417
US
IV. Provider business mailing address
13987 HICKORY TRCE
FAYETTEVILLE AR
72704-8417
US
V. Phone/Fax
- Phone: 479-225-3098
- Fax:
- Phone: 479-225-3098
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name:
CHRISTIN
NORMAN
Title or Position: LICENSED PROFESSIONAL COUNSELOR
Credential: M.S. LPC, RPT
Phone: 479-225-3098