Healthcare Provider Details

I. General information

NPI: 1891699476
Provider Name (Legal Business Name): HEARTHSIDE THERAPY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2026
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2725 CANTRELL RD STE 107
LITTLE ROCK AR
72202-2044
US

IV. Provider business mailing address

2725 CANTRELL RD STE 107
LITTLE ROCK AR
72202-2044
US

V. Phone/Fax

Practice location:
  • Phone: 662-799-1176
  • Fax: 501-833-5012
Mailing address:
  • Phone: 662-799-1176
  • Fax: 501-833-5012

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: KATHERINE MCCALMAN
Title or Position: OWNER/LCSW
Credential: LCSW
Phone: 662-799-1176