Healthcare Provider Details

I. General information

NPI: 1851215545
Provider Name (Legal Business Name): LIVING HOPE SOUTHEAST, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/06/2026
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

555 W GAINES ST
MONTICELLO AR
71655-4637
US

IV. Provider business mailing address

PO BOX 117 NULL
CONWAY AR
72033-0117
US

V. Phone/Fax

Practice location:
  • Phone: 870-224-7100
  • Fax: 870-224-0373
Mailing address:
  • Phone: 870-224-7100
  • Fax: 870-224-0373

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: LYNNE LINDSAY
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 870-224-7100