Healthcare Provider Details

I. General information

NPI: 1629933965
Provider Name (Legal Business Name): ARKANSAS RECOVERY AND WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/18/2025
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10515 W MARKHAM ST STE F1
LITTLE ROCK AR
72205-2291
US

IV. Provider business mailing address

3 COUNTRY CLUB CV
CONWAY AR
72034-7261
US

V. Phone/Fax

Practice location:
  • Phone: 501-804-3107
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: MR. MICHAEL BROOKS HIGGINBOTHAM
Title or Position: OWNER
Credential: LCSW
Phone: 501-804-3107