Organization
1501 MICHAEL DRIVE, LLC
Active
Organization
1501 MICHAEL DRIVE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGIA JOHNSTON (PRESIDENT)
(501) 224-0846
Entity
Organization
Contact information
Practice address
1509 MICHAEL DR, LITTLE ROCK, AR 72204-2336
(501) 480-5555
(501) 353-1403
Mailing address
10 SHACKLEFORD PLZ STE 102, LITTLE ROCK, AR 72211-1886
(501) 224-0846
(501) 224-0834
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
353118796
—
AR
Enumeration date
01/13/2026
Last updated
02/11/2026
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