OrganizationActive
Life Trek, LLC
NPI 1861925968 · Counseling Psychologist · Cabot, AR
Provider details
- NPI number
- 1861925968
- Entity type
- Organization
- Primary specialty
- Counseling PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Cathy Staton, Psychologist(501) 617-5678
- License
- 17-04P (AR)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
21 Sycamore St
Cabot, AR 72023-3714
Phone: (501) 617-5678
Approximate (ZIP-level) locationGet directions
Mailing address
21 Sycamore St
Cabot, AR 72023-3714
Registry dates
- Enumerated
- 2017-04-05
- Last updated
- 2017-04-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.