Organization
BOUNTIFUL LIVING AND ASSISTANCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANIKA NICKELBERRY (OWNER)
(501) 353-8336
Entity
Organization
Contact information
Practice address
5713 DREXEL AVE, LITTLE ROCK, AR 72209-8413
(501) 396-9916
Mailing address
6834 CANTRELL RD STE 1648, LITTLE ROCK, AR 72207-4135
(501) 353-8336
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
172V00000X
Community Health Worker
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
03/06/2026
Last updated
03/06/2026
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