Healthcare Provider Details

I. General information

NPI: 1962026203
Provider Name (Legal Business Name): SARAH GASAWAY LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SARAH ATKINSON LAC

II. Dates (important events)

Enumeration Date: 06/02/2020
Last Update Date: 06/06/2025
Certification Date: 03/17/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6601 WEST 12TH STREET
LITTLE ROCK AR
72204-1513
US

IV. Provider business mailing address

P. O. BOX 251970
LITTLE ROCK AR
72225-1970
US

V. Phone/Fax

Practice location:
  • Phone: 501-666-8686
  • Fax: 501-660-6829
Mailing address:
  • Phone: 501-666-8686
  • Fax: 501-660-6830

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberP2503025
License Number StateAR
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberA2303013
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: