LIVING HOPE SOUTHEAST, LLC (NPI# 1689877862) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689877862 |
| Entity Type | Organization |
| Organization Name | LIVING HOPE SOUTHEAST, LLC |
| Practice Address |
10025 West Markham St Ste. 210 Little Rock AR 72205 |
| Practice Telephone | 5016635473 |
| Practice Fax Number | 5018011816 |
| Mailing Telephone | 5016635473 |
| Mailing Fax Number | 5018011816 |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2013-08-21 |
| Authorized Official Name | THOMAS JAY HOLDER (TEAM LEAD) |
| Authorized Official Telephone | 5016635473 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041S0200X |
Social Worker Specialization: School |
Behavioral Health & Social Service Providers | ||
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers | ||
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 165404526 | 05 |
| Street Address |
10025 WEST MARKHAM ST STE. 210 |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669437547 | Lory Saxton Kistner | Counselor | 10025 West Markham St, Ste. 210, Little Rock, AR 72205 | 2006-04-20 |
| 1558729178 | Kim Marie Watson | Case Manager/Care Coordinator | 10025 West Markham St, Suite 210, Little Rock, AR 72205 | 2016-02-10 |
| 1053786004 | Carissa Jennie Gill | Counselor | 10025 West Markham St, Suite 210, Little Rock, AR 72205 | 2015-12-02 |
| 1447658786 | Faneisha Yavette Mosley | Counselor | 10025 West Markham St, Suite 210, Little Rock, AR 72205 | 2014-12-19 |
| 1821493156 | Christina Burchfield | Case Manager/Care Coordinator | 10025 West Markham St, Suite 210, Little Rock, AR 72205 | 2014-10-29 |
| 1942616313 | Terrell M. Hammond | Counselor | 10025 West Markham St, Suite 210, Little Rock, AR 72205 | 2014-07-07 |
| 1306252952 | Justin Baird | Case Manager/Care Coordinator | 10025 West Markham St, Ste 210, Little Rock, AR 72205-2178 | 2014-07-03 |
| 1972846319 | Jessica B Walker | Counselor | 10025 West Markham St, Ste. 210, Little Rock, AR 72205 | 2013-04-04 |
| 1053681122 | Chappell Leigh Mosby | Counselor | 10025 West Markham St, Suite 210, Little Rock, AR 72205 | 2012-01-06 |
| 1326321712 | Tessa Billingsly | Case Manager/Care Coordinator | 10025 West Markham St, Ste. 210, Little Rock, AR 72205 | 2011-09-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932719465 | Darleisha Renee Stigall | Behavior Technician | 1210 Aldersdate Rd, Little Rock, AR 72205 | 2020-08-10 |
| 1316563638 | Unknown Amisha | Student in an Organized Health Care Education/Training Program | 4301 West Markham St, Slot #634, University of Arkansas, Little Rock, AR 72205 | 2020-06-23 |
| 1225667272 | Ann-marie Frances Hayre | Student in an Organized Health Care Education/Training Program | 4310 West Markham, Slot 589, Little Rock, AR 72205 | 2020-04-02 |
| 1952930075 | Alexandria Leigh Smith | Student in an Organized Health Care Education/Training Program | 4301 West Markham St, Slot 531, Little Rock, AR 72205 | 2020-04-02 |
| 1093353922 | Phil Fagala | Pharmacist | 614 North Beechwood, Little Rock, AR 72205 | 2019-12-10 |
| 1295391688 | Home To Community Living, Inc | Physical Therapist | 10201 W Markham Street Pulaski, Little Rock, AR 72205 | 2019-05-12 |
| 1669933693 | Sandy Louise Webb | Student in an Organized Health Care Education/Training Program | 4301 West Markham, Slot 530, Little Rock, AR 72205 | 2019-03-31 |
| 1457812828 | Vincent Battafarano | Student in an Organized Health Care Education/Training Program | 4301 West Markham, Slot 602, Little Rock, AR 72205 | 2019-03-28 |
| 1063978922 | Franks Pediatric Occupational Therapy LLC | Occupational Therapist | 5516 C St, Little Rock, AR 72205 | 2019-02-15 |
| 1497210199 | Integrative Counseling Center LLC | Counselor | 10515 W Markham St Ste D3, Little Rock, AR 72205 | 2019-02-06 |
| Find all providers in zip 72205 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003425703 | Apollo Health, LLC | Counselor | 11715 Rainwood Rd Ste B6, Little Rock, AR 72212-3968 | 2020-07-28 |
| 1376168120 | Shea Wood | Counselor | 8 Shackleford Plz Ste 206, Little Rock, AR 72211-1853 | 2020-06-08 |
| 1740803683 | Ryan Russ LLC | Counselor | 1900 N Bryant St Ste 310, Little Rock, AR 72207-5022 | 2020-05-27 |
| 1003443953 | David Laser Jr. | Counselor | 3700 W 65th St, Little Rock, AR 72209-8552 | 2020-03-23 |
| 1992331508 | Seth Thomas Gilleran | Counselor | 14710 Cantrell Rd Ste 7a, Little Rock, AR 72223-4253 | 2020-03-14 |
| 1568004240 | Cheyenne Parker | Counselor | 20400 Col Glenn Road Youth Home, Inc., Little Rock, AR 72210-5323 | 2019-10-14 |
| 1104473198 | Carrie Teresa Calhoon | Counselor | 1100 N University Ave Ste 137, Little Rock, AR 72207-6344 | 2019-08-23 |
| 1730668864 | Raysha Clark | Counselor | 10515 W Markham St Ste K4, Little Rock, AR 72205-2287 | 2018-08-09 |
| 1003306804 | Chris Beasley | Counselor | 9819 Margie Cir, Little Rock, AR 72209-6521 | 2018-05-16 |
| 1841787090 | Martin Counseling Services, LLC | Counselor | 1100 N University Ave Ste 210, Little Rock, AR 72207-6359 | 2018-04-13 |
| Find all providers in LITTLE ROCK | ||||
| City | LITTLE ROCK |
| Zip Code | 72205 |
Please comment or provide details below to improve the information on LIVING HOPE SOUTHEAST, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.