Provider Demographics
NPI:1023989852
Name:HORACE, KIYA LATRICE (LCSW)
Entity type:Individual
Prefix:
First Name:KIYA
Middle Name:LATRICE
Last Name:HORACE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:701 RAHLING RD APT 4219
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72223-6125
Mailing Address - Country:US
Mailing Address - Phone:501-247-2804
Mailing Address - Fax:
Practice Address - Street 1:701 RAHLING RD APT 4219
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72223-6125
Practice Address - Country:US
Practice Address - Phone:501-247-2804
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-15
Last Update Date:2025-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR11184-C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical