Healthcare Provider Details

I. General information

NPI: 1366336851
Provider Name (Legal Business Name): CONNECTION CORNER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/07/2025
Last Update Date: 06/21/2026
Certification Date: 06/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

125 S BLOOMINGTON ST STE C
LOWELL AR
72745-9493
US

IV. Provider business mailing address

4314 W BALTIMORE DR
ROGERS AR
72758-4540
US

V. Phone/Fax

Practice location:
  • Phone: 479-222-0208
  • Fax:
Mailing address:
  • Phone: 469-260-9076
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: ASHLEY ELIZABETH NIXON
Title or Position: SPEECH LANGUAGE PATHOLOGIST
Credential: M.S, CCC-SLP
Phone: 469-260-9076