Healthcare Provider Details

I. General information

NPI: 1962317750
Provider Name (Legal Business Name): ASHLEY ELISE CARLTON LAC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/17/2026
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2707 BROWNS LN
JONESBORO AR
72401-7213
US

IV. Provider business mailing address

2400 S 48TH ST
SPRINGDALE AR
72762-6683
US

V. Phone/Fax

Practice location:
  • Phone: 870-972-4000
  • Fax: 870-972-4968
Mailing address:
  • Phone: 479-750-2020
  • Fax: 479-750-2747

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberA2608004
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: