Healthcare Provider Details

I. General information

NPI: 1134962285
Provider Name (Legal Business Name): HEALING AND REST COUNSELING SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/17/2024
Last Update Date: 06/17/2024
Certification Date: 06/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1501 N UNIVERSITY AVE STE 570
LITTLE ROCK AR
72207-5234
US

IV. Provider business mailing address

1501 N UNIVERSITY AVE STE 570
LITTLE ROCK AR
72207-5234
US

V. Phone/Fax

Practice location:
  • Phone: 903-227-9093
  • Fax:
Mailing address:
  • Phone: 903-227-9093
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number State

VIII. Authorized Official

Name: NATHAN JOSEPH SLINKARD
Title or Position: REGISTERED DIETITIAN
Credential: MS, RD, LD, CLT
Phone: 903-227-9093