Healthcare Provider Details

I. General information

NPI: 1912688813
Provider Name (Legal Business Name): DIVINE LIGHT COUNSELING SERVICES, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/25/2023
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

143 HIGHWAY 463 N
TRUMANN AR
72472-3501
US

IV. Provider business mailing address

319 S CHURCH ST STE 104
JONESBORO AR
72401-2913
US

V. Phone/Fax

Practice location:
  • Phone: 870-568-1286
  • Fax: 870-301-2707
Mailing address:
  • Phone: 870-568-1286
  • Fax: 870-301-2707

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: MS. HOLLI B SHELTON
Title or Position: PRESIDENT
Credential: LPC
Phone: 870-568-1286