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HEALTH FOR LIFE CLINIC PLLC
NPI 1760736565
General Practice in Little Rock, AR

Active since October 31, 2012
1100 N UNIVERSITY AVE, STE 260, LITTLE ROCK, AR 72207(501) 603-0003(501) 603-0030 Get Directions Write a Review

NPPES record last updated: October 31, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Health For Life Clinic Pllc NPPES

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

HEALTH FOR LIFE CLINIC PLLC (NPI 1760736565) is a healthcare organization registered as a general practice in Little Rock, Arkansas and active in the NPI registry since October 2012. The organization lists Tia Proctor, Billing Administrator, as its authorized official.

NPPES Registry Identity

NPI1760736565
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameHEALTH FOR LIFE CLINIC PLLC
Location Address1100 N UNIVERSITY AVE, STE 260Little Rock, AR 72207-6343
Mailing Address1100 N University Ave, Ste 260Little Rock, AR 72207-6343 · (501) 603-0003 · Fax (501) 603-0030
Phone(501) 603-0003
Fax(501) 603-0030
Organization SubpartNo
Authorized OfficialTia ProctorBilling Administrator · (501) 603-0003
Enumeration DateOctober 31, 2012
✔ NPI 1760736565 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in AR · C4604
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
1100 N UNIVERSITY AVE, Little Rock, AR 72207
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Other Identifiers 3

Medicare PIN52647AR
Medicare UPINB90333AR
Medicaid104422001AR

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

SUSANNA E SHERMER M.D.
Family Medicine
1100 N UNIVERSITY AVE, SUITE 1
LITTLE ROCK, AR 72207
Pulaski County (501) 552-7900
GARY APPLEBY BLONSKY LCSW
Social Worker (Clinical)
1100 N UNIVERSITY AVE
LITTLE ROCK, AR 72207
Pulaski County (501) 773-0290
JOSHUA MEDICAL LINK CORPORATION
Durable Medical Equipment & Medical Supplies
1100 N UNIVERSITY AVE, STE 130
LITTLE ROCK, AR 72207
Pulaski County (501) 614-9711
MS. LINDA KATHERINE VANBLARICOM M.S.
Counselor (Mental Health)
1100 N UNIVERSITY AVE, SUITE 149
LITTLE ROCK, AR 72207
Pulaski County (501) 309-4858
MISS KARON PATRICE CUNNINGHAM LADAC
Case Manager/Care Coordinator
1100 N UNIVERSITY AVE, 200
LITTLE ROCK, AR 72207
Pulaski County (870) 347-2534
JEFFERSON COMPREHENSIVE CARE SYSTEM, INC
Clinic/Center (Federally Qualified Health Center (FQHC))
1100 N UNIVERSITY AVE, SUITE 125
LITTLE ROCK, AR 72207
Pulaski County (501) 663-0055
ELIZABETH MARIE BUCOLO M.A.
Psychologist (Clinical)
1100 N UNIVERSITY AVE, SUITE 200
LITTLE ROCK, AR 72207
Pulaski County (501) 686-9300
MRS. BRITTANY D STEWART SMITH LCSW
Social Worker (Clinical)
1100 N UNIVERSITY AVE, SUITE 133
LITTLE ROCK, AR 72207
Pulaski County (501) 664-0091

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 Health For Life Clinic PLLC's NPI number?

The NPI number for Health For Life Clinic PLLC is 1760736565. It was assigned to this organization in the NPPES registry on October 31, 2012.

Where is Health For Life Clinic PLLC located?

Health For Life Clinic PLLC is located at 1100 N University Ave Ste 260, Little Rock, AR 72207. The listed phone number is (501) 603-0003.

What is Health For Life Clinic PLLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Health For Life Clinic PLLC was last updated on October 31, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years 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.