Healthcare Provider Details

I. General information

NPI: 1659287258
Provider Name (Legal Business Name): CULTIVATING SOLACE COLLECTIVE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/22/2026
Last Update Date: 08/22/2026
Certification Date: 08/22/2026
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: 501-232-3521
  • Fax:
Mailing address:
  • Phone:
  • 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: CHARMAINE BEASLEY
Title or Position: OWNER/OPERATOR
Credential: LPC-S
Phone: 501-232-3521