Healthcare Provider Details

I. General information

NPI: 1538112412
Provider Name (Legal Business Name): LIVING HOPE MEDICAL SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 S MCKINLEY ST SUITE 400
LITTLE ROCK AR
72205-5202
US

IV. Provider business mailing address

600 S MCKINLEY ST SUITE 400
LITTLE ROCK AR
72205-5202
US

V. Phone/Fax

Practice location:
  • Phone: 501-663-4673
  • Fax: 501-801-1816
Mailing address:
  • Phone: 501-663-4673
  • Fax: 501-801-1816

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code283Q00000X
TaxonomyPsychiatric Hospital
License NumberAR4301
License Number StateAR

VIII. Authorized Official

Name: DR. WANDA J. STEPHENS
Title or Position: OWNER,PRESIDENT
Credential: M.D.
Phone: 501-663-4673