Healthcare Provider Details

I. General information

NPI: 1427966316
Provider Name (Legal Business Name): CULTIVATING SOLACE COLLECTIVE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
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: 501-232-3521
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number StateNULL

VIII. Authorized Official

Name: CHARMAINE BEASLEY
Title or Position: OWNER
Credential: LPC-S
Phone: 501-232-3521