MEDICARE: EASTERSEALS ARKANSAS

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	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1639869753
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EASTERSEALS ARKANSAS

Provider Business Mailing Address
First Line	:	3920 WOODLAND HEIGHTS RD
Second Line	:
City	:	LITTLE ROCK
State	:	AR
Zip	:	72212-2495
Country	:	US
Telephone Number	:	501-227-3600
Fax Number	:

Provider Business Practice Location Address
First Line	:	14901 CANTRELL RD
Second Line	:
City	:	LITTLE ROCK
State	:	AR
Zip	:	72223-4255
Country	:	US
Telephone Number	:	501-367-1200
Fax Number	:

Authorized Official
Title or Position	:	COO
Name	:	STEPHANIE G SMITH
Credential	:
Telephone Number	:	501-227-3600

Provider Enumeration Date	:	05/11/2023
Last Update Date	:	01/27/2026

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Directions to “EASTERSEALS ARKANSAS ” Practice Location

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