Healthcare Provider Details

I. General information

NPI: 1710717343
Provider Name (Legal Business Name): ASPIRE FAMILY COUNSELING AND CONSULTING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/07/2024
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3732 ROGERS AVE
FORT SMITH AR
72903-2984
US

IV. Provider business mailing address

3732 ROGERS AVE
FORT SMITH AR
72903-2984
US

V. Phone/Fax

Practice location:
  • Phone: 479-633-7423
  • Fax:
Mailing address:
  • Phone: 479-633-7423
  • Fax: 833-427-1422

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: KIMBERLY ANN MOORE
Title or Position: OWNER/THERAPIST
Credential: LPC, LMFT
Phone: 479-633-7423