Healthcare Provider Details

I. General information

NPI: 1841053626
Provider Name (Legal Business Name): CARING HOLISTIC COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/05/2024
Last Update Date: 02/09/2024
Certification Date: 02/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

104 MONTANA AVE
NORTH LITTLE ROCK AR
72118-2832
US

IV. Provider business mailing address

104 MONTANA AVE
NORTH LITTLE ROCK AR
72118-2832
US

V. Phone/Fax

Practice location:
  • Phone: 501-442-2505
  • Fax:
Mailing address:
  • Phone: 501-442-2505
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: MRS. TIARA M JAMES-MELLON
Title or Position: OWNER
Credential: LPC, LMFT
Phone: 501-442-2505