Healthcare Provider Details

I. General information

NPI: 1134042567
Provider Name (Legal Business Name): CHEYENNE HOLSTEN LAMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 08/03/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

324 N 2ND ST
ROGERS AR
72756-6647
US

IV. Provider business mailing address

3229 N OAKLAND ZION RD
FAYETTEVILLE AR
72703-4656
US

V. Phone/Fax

Practice location:
  • Phone: 479-435-4207
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberF2607001
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: