Healthcare Provider Details

I. General information

NPI: 1114869492
Provider Name (Legal Business Name): MID STATE COUNSELING AND RECOVERY SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/07/2026
Last Update Date: 04/07/2026
Certification Date: 04/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1920 MAIN ST STE 229
NORTH LITTLE ROCK AR
72114-2875
US

IV. Provider business mailing address

1920 MAIN ST
NORTH LITTLE ROCK AR
72114-2872
US

V. Phone/Fax

Practice location:
  • Phone: 501-351-3528
  • Fax:
Mailing address:
  • Phone: 501-351-3528
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: SAMUEL EDWARD ADKINS
Title or Position: OWNER
Credential: LCSW
Phone: 501-351-3528