Healthcare Provider Details

I. General information

NPI: 1427964196
Provider Name (Legal Business Name): FARIDA HAMZA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/21/2026
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

420 W 4TH ST STE A
NORTH LITTLE ROCK AR
72114-5393
US

IV. Provider business mailing address

8901 CARTI WAY
LITTLE ROCK AR
72205-6523
US

V. Phone/Fax

Practice location:
  • Phone: 501-408-3431
  • Fax:
Mailing address:
  • Phone: 501-508-7912
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberP2608017
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: