Healthcare Provider Details

I. General information

NPI: 1538357546
Provider Name (Legal Business Name): MR. MICHAEL AARON THOMASON
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/04/2007
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1730 LILAC CIR
LITTLE ROCK AR
72202-1822
US

IV. Provider business mailing address

1730 LILAC CIR
LITTLE ROCK AR
72202-1822
US

V. Phone/Fax

Practice location:
  • Phone: 870-230-2334
  • Fax:
Mailing address:
  • Phone: 870-230-2334
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberA0802018
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: