# MID STATE COUNSELING AND RECOVERY SERVICE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316432966
- **Authorized official:** MRS. SAMUEL EDWARD ADKINS LCSW (OWNER)
- **Authorized official phone:** (501) 351-3528

## Contact information

- **Practice address:** 1920 MAIN ST, STE 229, NORTH LITTLE ROCK, AR 72114
- **Practice address phone:** (501) 351-3528
- **Practice address fax:** (501) 508-5656
- **Mailing address:** 1920 MAIN ST, STE 229, NORTH LITTLE ROCK, AR 72114
- **Mailing address phone:** (501) 351-3528
- **Mailing address fax:** (501) 508-5656

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0850X | Adult Mental Health Clinic/Center | 3000-C | AR | Yes |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | 3000-C | AR | Yes |

## Other

- **Enumeration date:** 06/26/2018
- **Last updated:** 09/03/2026