Dickerson Family Resource Center, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

DICKERSON FAMILY RESOURCE CENTER, LLC

Doing business as

Motivated Minds Counseling and Consulting

Practice address

5401 John F. Kennedy Blvd
Suite I RM 1
North Little Rock, AR 72116

Phone

(501) 580-4999

Fax

(501) 222-1080

NPI assigned

May 11, 2020

Organization subpart

No

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

Authorized official

Name

Sabrina Nicole Dickerson, MA, LPC, CRC

Title

Ceo

Phone

(501) 580-4999

Specialties & licenses 1

Addresses

Other names 1

• Motivated Minds Counseling and Consulting Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sabrina N Lewis, LPC

  • Professional Counselor
  • Little Rock, AR
  • NPI 1043721863
  NPD

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

{
    "created_epoch": "1589155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589155200000",
    "number": "1710509997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 KAYE LN",
            "city": "JACKSONVILLE",
            "state": "AR",
            "postal_code": "720762402",
            "telephone_number": "501-580-4999",
            "fax_number": "501-222-1080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 JOHN F. KENNEDY BLVD",
            "address_2": "SUITE I RM 1",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "72116",
            "telephone_number": "501-580-4999",
            "fax_number": "501-222-1080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DICKERSON FAMILY RESOURCE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-11",
        "last_updated": "2020-05-11",
        "certification_date": "2020-05-11",
        "status": "A",
        "authorized_official_last_name": "DICKERSON",
        "authorized_official_first_name": "SABRINA",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "501-580-4999",
        "authorized_official_credential": "MA, LPC, CRC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Motivated Minds Counseling and Consulting",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dialysis Centers of Arkansas, PA
• Dialysis Clinic Inc (Dialysis Clinic, Inc-North Little Rock)
• Sherri Lee Diamond, M.D.
• Freddy Diaz Ortiz, MD
• Edwin A Diaz, M.D.
• Cameisha Dickerson
• Tiffany Diemer, PHARM. D.
• Laura Leigh Dill, RD
• Joshua Daniel Dilley, M.D.
• Dahlia Distin, CNP

• Professional Counselor in North Little Rock, AR
• Providers in North Little Rock, AR by specialty
• Professional Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2020; 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.