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1501 MICHAEL DRIVE, LLC
NPI 1104784750
Community/Behavioral Health in Little Rock, AR

Active since January 13, 2026
1509 MICHAEL DR, LITTLE ROCK, AR 72204(501) 480-5555(501) 353-1403 Get Directions Write a Review

NPPES record last updated: February 11, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About 1501 Michael Drive, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

1501 MICHAEL DRIVE, LLC (NPI 1104784750) is a healthcare organization registered as a community/behavioral health in Little Rock, Arkansas and active in the NPI registry since January 2026. The organization lists Georgia Johnston, President, as its authorized official.

NPPES Registry Identity

NPI1104784750
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business Name1501 MICHAEL DRIVE, LLC
Location Address1509 MICHAEL DRLittle Rock, AR 72204-2336
Mailing Address10 Shackleford Plz Ste 102Little Rock, AR 72211-1886 · (501) 224-0846 · Fax (501) 224-0834
Phone(501) 480-5555
Fax(501) 353-1403
Organization SubpartNo
Authorized OfficialGeorgia JohnstonPresident · (501) 224-0846
Enumeration DateJanuary 13, 2026
Last NPPES UpdateFebruary 11, 2026
NPPES CertifiedFebruary 11, 2026
✔ NPI 1104784750 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
1509 MICHAEL DR, Little Rock, AR 72204
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Other Identifiers 1

Medicaid353118796AR

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

COMMUNITY LIFE SERVICES, INC.
Nursing Facility/Intermediate Care Facility
1509 MICHAEL DR
LITTLE ROCK, AR 72204
Pulaski County (501) 223-9015

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is 1501 Michael Drive, LLC's NPI number?

The NPI number for 1501 Michael Drive, LLC is 1104784750. It was assigned to this organization in the NPPES registry on January 13, 2026.

Where is 1501 Michael Drive, LLC located?

1501 Michael Drive, LLC is located at 1509 Michael Dr, Little Rock, AR 72204. The listed phone number is (501) 480-5555.

What is 1501 Michael Drive, LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for 1501 Michael Drive, LLC was last updated on February 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.