Streams of Life Counseling, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

STREAMS OF LIFE COUNSELING, LLC

Practice address

4021 W Walnut St # 1068
Rogers, AR 72756-1842

Phone

(501) 588-0373

NPI assigned

Mar 19, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Cecilia N. Davis, LCPCNPI 1508134206

Title

Mental Health Therapist

Phone

(501) 588-0373

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Cecilia N. Davis, LCPC

  • Professional Counselor
  • Naperville, IL
  • NPI 1508134206
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1710806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718323200000",
    "number": "1598525461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4021 W WALNUT ST # 1068",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727561842",
            "telephone_number": "501-588-0373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4021 W WALNUT ST # 1068",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727561842",
            "telephone_number": "501-588-0373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STREAMS OF LIFE COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-19",
        "last_updated": "2024-06-14",
        "certification_date": "2024-05-14",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "CECILIA",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "MENTAL HEALTH THERAPIST",
        "authorized_official_telephone_number": "501-588-0373",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daran Scott Stovall
• Andrew Stover, LCSW
• Noelle Annalea Stover
• Kristie Stradtman, COTA
• Timeni Strauss, COTA
• Rebekah Grace Strickland, MS, OTR-L
• Madeline Elise Stroh, MS
• Stuart J. Benson, D.O., P.a. (Platinum Health & Wellness)
• Robert Joseph Stuppy, MD
• Erica Ashton Sturgeon

• Mental Health Clinic/Center (Including Community Mental Health Center) in Rogers, AR
• Providers in Rogers, AR by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.