Healthcare Provider Details

I. General information

NPI: 1144156910
Provider Name (Legal Business Name): EMBRACE YOUR JOURNEY COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/19/2026
Last Update Date: 06/19/2026
Certification Date: 06/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

250 SMOKEY LN
NORTH LITTLE ROCK AR
72117-2506
US

IV. Provider business mailing address

250 SMOKEY LN
NORTH LITTLE ROCK AR
72117-2506
US

V. Phone/Fax

Practice location:
  • Phone: 501-993-3911
  • Fax:
Mailing address:
  • Phone: 501-993-3911
  • Fax:

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: JAVANA LATRICE BANKS
Title or Position: MENTAL HEALTH THERAPIST
Credential: LPC
Phone: 501-993-3911