DICKERSON FAMILY RESOURCE CENTER, LLC (NPI# 1710509997) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710509997 |
| Entity Type | Organization |
| Organization Name | DICKERSON FAMILY RESOURCE CENTER, LLC |
| Practice Address |
5401 John F. Kennedy Blvd Suite I Rm 1 North Little Rock AR 72116 |
| Mailing Address |
14 Kaye Ln Jacksonville AR 72076-2402 |
| Practice Telephone | 5015804999 |
| Practice Fax Number | 5012221080 |
| Mailing Telephone | 5015804999 |
| Mailing Fax Number | 5012221080 |
| Enumeration Date | 2020-05-11 |
| Last Update Date | 2020-05-11 |
| Authorized Official Name | SABRINA NICOLE DICKERSON (CEO) |
| Authorized Official Telephone | 5015804999 |
| Authorized Official Credential | MA, LPC, CRC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Motivated Minds Counseling and Consulting | Doing Business As Name - Organization |
| Street Address |
5401 JOHN F. KENNEDY BLVD SUITE I RM 1 |
| City | NORTH LITTLE ROCK |
| State | AR |
| Zip Code | 72116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831609262 | Bill J Carpenter Sr. | Counselor | 4700 W Commercial Dr Ste B3, North Little Rock, AR 72116 | 2017-10-12 |
| 1992257646 | Meagan Booe | Behavioral Analyst | 3812 Lakewood Valley Drive, North Little Rock, AR 72116 | 2016-10-28 |
| 1295154300 | Min-ji Lee | Family Medicine | 2504 Mccain Blvd Ste 118, North Little Rock, AR 72116 | 2014-04-16 |
| 1255603486 | Crystal N Lackey | Physical Therapist | 3801 Jfk Blvd Ste C, North Little Rock, AR 72116 | 2012-02-03 |
| 1003055724 | North Little Rock, Pllc | Chiropractor | 4614 Jfk Blvd, North Little Rock, AR 72116 | 2009-02-19 |
| 1891933826 | Jennifer Ann Freilino | Counselor | 3805 Mccain Park Dr Ste 112, North Little Rock, AR 72116 | 2009-01-29 |
| 1679729669 | Amy Marie Jones | Speech-Language Pathologist | 5901 John F Kennedy Blvd Apt 5127, North Little Rock, AR 72116 | 2008-08-11 |
| 1992970917 | Ronald F Boyles Od Pa | Eyewear Supplier (Equipment, not the service) | 2520 Crestwood Road, North Little Rock, AR 72116 | 2008-04-30 |
| 1992976377 | Kencur Inc Statco Hearing Labs | Hearing Instrument Specialist | 4000 Mccain Blvd, Suite D, North Little Rock, AR 72116 | 2008-03-13 |
| 1427236165 | Walker Orthodontics, Inc | Dentist | 200 South University Suite 200, Little Rock, AR 72116 | 2008-02-05 |
| Find all providers in zip 72116 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184153553 | Stacey Hurst Moore | Counselor | 4020 Richards Rd Ste F, North Little Rock, AR 72117-2744 | 2017-06-08 |
| 1215377270 | Debra Vattimo | Counselor | 4700 West Commercial Suite B1, North Little Rock, AR 72216 | 2013-07-04 |
| 1790084739 | Ernestine Michelle Russ-williams | Counselor | 1005 W B Ave, North Little Rock, AR 72116-9180 | 2011-03-16 |
| 1164671913 | Thomas David Hoffpauir Jr. | Counselor | 2200 Fort Roots Dr Bldg 1701k108, North Little Rock, AR 72114-1709 | 2008-09-17 |
| 1225217557 | Freetta Nelson Hemphill | Counselor | 425 W Broadway St, Suite C, North Little Rock, AR 72114-5521 | 2007-11-02 |
| 1083716732 | Jannie Marie Cotton | Counselor | 3601 Richards Road, North Little Rock, AR 72117 | 2006-09-02 |
| 1932711876 | Stacy Kinzler Therapy Inc | Counselor | 3801 Jfk Blvd, North Little Rock, AR 72116-8247 | 2020-08-21 |
| 1801413554 | Stacy Lee Kinzler | Counselor | 3801 Jfk Blvd, North Little Rock, AR 72116-8247 | 2020-06-29 |
| 1831736842 | Cardinal Counseling Services Pllc | Counselor | 425 W Broadway St Ste D, North Little Rock, AR 72114-5576 | 2019-12-09 |
| 1710546379 | Lakera Davis | Counselor | 4701 Fairway Ave Ste B, North Little Rock, AR 72116-8069 | 2019-06-07 |
| Find all providers in NORTH LITTLE ROCK | ||||
| City | NORTH LITTLE ROCK |
| Zip Code | 72116 |
Please comment or provide details below to improve the information on DICKERSON FAMILY RESOURCE CENTER, 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.