MEDICARE: ENLIGHTENED COUNSELING PLLC

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	261QM0850X	Adult Mental Health Clinic/Center

General Provider Information

NPI Number	:	1730905514
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ENLIGHTENED COUNSELING PLLC

Provider Business Mailing Address
First Line	:	1517 CALDWELL ST STE 2
Second Line	:
City	:	CONWAY
State	:	AR
Zip	:	72034-5240
Country	:	US
Telephone Number	:	501-328-8320
Fax Number	:

Provider Business Practice Location Address
First Line	:	1517 CALDWELL ST STE 2
Second Line	:
City	:	CONWAY
State	:	AR
Zip	:	72034-5240
Country	:	US
Telephone Number	:	501-328-8320
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JULIANNE SMITH
Credential	:	LPC
Telephone Number	:	870-692-9169

Provider Enumeration Date	:	11/26/2024
Last Update Date	:	12/22/2025

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