MEDICARE: HEART LIGHT HEALING-INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1215889894
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEART LIGHT HEALING-INC

Provider Business Mailing Address
First Line	:	9770 HIGHWAY 165
Second Line	:
City	:	NORTH LITTLE ROCK
State	:	AR
Zip	:	72117-9737
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9770 HIGHWAY 165
Second Line	:
City	:	NORTH LITTLE ROCK
State	:	AR
Zip	:	72117-9737
Country	:	US
Telephone Number	:	501-580-7678
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR OF RCM
Name	:	JOSEPH BYNUM
Credential	:
Telephone Number	:	479-315-6104

Provider Enumeration Date	:	02/13/2026
Last Update Date	:	02/13/2026

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Directions to “HEART LIGHT HEALING-INC ” Practice Location

Language	Start Address	Practice Location

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