Healthcare Provider Details

I. General information

NPI: 1285570812
Provider Name (Legal Business Name): ALLEVIANT MENTAL HEALTH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/27/2026
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9089 S PECOS RD STE 3600
HENDERSON NV
89074-7186
US

IV. Provider business mailing address

11101 ANDERSON DR
LITTLE ROCK AR
72212-2475
US

V. Phone/Fax

Practice location:
  • Phone: 501-722-2164
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: KYLA FARLER
Title or Position: PRESIDENT
Credential:
Phone: 501-722-2164