Healthcare Provider Details

I. General information

NPI: 1578844221
Provider Name (Legal Business Name): NASH THERAPEUTIC SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/07/2011
Last Update Date: 01/06/2026
Certification Date: 01/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4806 RIXIE RD
N LITTLE ROCK AR
72117-1537
US

IV. Provider business mailing address

4806 RIXIE RD
N LITTLE ROCK AR
72117-1537
US

V. Phone/Fax

Practice location:
  • Phone: 501-500-2111
  • Fax: 501-244-9999
Mailing address:
  • Phone: 501-500-2111
  • Fax: 501-244-9999

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number StateNULL
# 3
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number StateNULL

VIII. Authorized Official

Name: MR. RALPH C NASH
Title or Position: PRESIDENT, CLINICAL THERAPIST
Credential: LCSW
Phone: 501-500-2113