Healthcare Provider Details

I. General information

NPI: 1245912062
Provider Name (Legal Business Name): HEART MATTERS THERAPY, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/02/2023
Last Update Date: 05/06/2025
Certification Date: 05/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10201 W MARKHAM ST STE 312
LITTLE ROCK AR
72205-2182
US

IV. Provider business mailing address

300 S RODNEY PARHAM RD STE 1-184
LITTLE ROCK AR
72205-4747
US

V. Phone/Fax

Practice location:
  • Phone: 501-588-7877
  • Fax:
Mailing address:
  • Phone: 501-588-7877
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: BREE VANLEY
Title or Position: OWNER
Credential: LPC
Phone: 501-588-7877