Healthcare Provider Details

I. General information

NPI: 1952221855
Provider Name (Legal Business Name): HARBORSTONE BEHAVIORAL SUPPORT SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2310 HOWARD ST
LITTLE ROCK AR
72206-1710
US

IV. Provider business mailing address

16017 BURLEIGH CT
LITTLE ROCK AR
72210-5849
US

V. Phone/Fax

Practice location:
  • Phone: 501-408-1524
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: KARMAN DICKSON
Title or Position: MANAGING MEMBER
Credential: RN
Phone: 501-408-1524