Healthcare Provider Details

I. General information

NPI: 1073994091
Provider Name (Legal Business Name): TORI R HORTON LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: TORI RENEE TEWALT LCSW

II. Dates (important events)

Enumeration Date: 06/16/2015
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5905 FOREST PL
LITTLE ROCK AR
72207-5244
US

IV. Provider business mailing address

5905 FOREST PL
LITTLE ROCK AR
72207-5244
US

V. Phone/Fax

Practice location:
  • Phone: 501-837-4417
  • Fax:
Mailing address:
  • Phone: 501-837-4417
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number8089-C
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: