Healthcare Provider Details

I. General information

NPI: 1164659157
Provider Name (Legal Business Name): WINTER L YIELDING LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/17/2009
Last Update Date: 12/29/2025
Certification Date: 12/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 W RACE AVE
SEARCY AR
72143-4137
US

IV. Provider business mailing address

PO BOX 1391
SEARCY AR
72145-1391
US

V. Phone/Fax

Practice location:
  • Phone: 501-230-1714
  • Fax:
Mailing address:
  • Phone: 501-230-1714
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberA0810067
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: