=====================================================
General NPI Number Information
=====================================================
NPI Number | 1861834368
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | EASON COUNSELING AND ASSOCIATES, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/24/2013
-----------------------------------------------------
Last Update Date | 07/16/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3623 JOHNSON MILL BLVD STE 103
-----------------------------------------------------
City | SPRINGDALE
-----------------------------------------------------
State | AR
-----------------------------------------------------
Zip | 72762-6412
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 479-435-4207
-----------------------------------------------------
Fax | 479-935-3180
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 9541
-----------------------------------------------------
City | FAYETTEVILLE
-----------------------------------------------------
State | AR
-----------------------------------------------------
Zip | 72703-0026
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 479-310-5417
-----------------------------------------------------
Fax | 479-935-3180
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER/THERAPIST
-----------------------------------------------------
Name | VASHONDA EASON
-----------------------------------------------------
Credential | LCSW
-----------------------------------------------------
Telephone | 479-435-4207
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 1041C0700X
-----------------------------------------------------
Taxonomy Name | Clinical Social Worker
-----------------------------------------------------
License Number | 2369-C
-----------------------------------------------------
License Number State | AR
-----------------------------------------------------