Healthcare Provider Details

I. General information

NPI: 1376159848
Provider Name (Legal Business Name): SEH HOLDINGS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/21/2020
Last Update Date: 07/18/2022
Certification Date: 07/18/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13924 CANTRELL RD STE C
LITTLE ROCK AR
72223-1508
US

IV. Provider business mailing address

13924 CANTRELL RD STE C
LITTLE ROCK AR
72223-1518
US

V. Phone/Fax

Practice location:
  • Phone: 501-916-2585
  • Fax: 501-916-2467
Mailing address:
  • Phone: 501-916-2585
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: SARAH HAYS
Title or Position: PRESIDENT
Credential: DC
Phone: 501-916-2585