Healthcare Provider Details
I. General information
NPI: 1184439523
Provider Name (Legal Business Name): PERSPECTIVE AND THERAPEUTIC SOLUTIONS OF ARKANSAS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/12/2025
Last Update Date: 02/12/2025
Certification Date: 02/12/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
400 WEST CAPITOL STE 1700
LITTLE ROCK AR
72201
US
IV. Provider business mailing address
127 AUDUBON DR STE C
MAUMELLE AR
72113-5836
US
V. Phone/Fax
- Phone: 501-487-8933
- Fax:
- Phone: 501-487-8933
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101Y00000X |
| Taxonomy | Counselor |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QM0801X |
| Taxonomy | Mental Health Clinic/Center (Including Community Mental Health Center) |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
DANYELL
N
GILLIAM NELSON
Title or Position: MENTAL HEALTH/BEHAVIOR TECHNICIAN
Credential: A.S, CBT, MHA,MA,BT
Phone: 501-487-8933