Healthcare Provider Details

I. General information

NPI: 1396600086
Provider Name (Legal Business Name): ALLISON MARIE FREEMAN LAC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/16/2025
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2504 MCCAIN BLVD STE 200
NORTH LITTLE ROCK AR
72116-7612
US

IV. Provider business mailing address

4094 BELL RD
DES ARC AR
72040-3171
US

V. Phone/Fax

Practice location:
  • Phone: 501-781-2230
  • Fax:
Mailing address:
  • Phone: 479-430-0344
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberA2408017
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: