Individual
KELDA ELIZABETH BASSHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, LMFT
Contact information
Practice address
100 E PLEASURE AVE, SEARCY, AR 72143-7710
(501) 387-0297
Mailing address
406 N SAWMILL RD, SEARCY, AR 72143-3059
(870) 378-1985
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
P1807090
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
333954744
—
AR
Enumeration date
03/16/2015
Last updated
10/16/2025
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