| Rivendell Behavioral Health Services Of Ar | |
|
1405 N Pierce St Suite 101 Little Rock AR 72207-5349 | |
| (501) 603-2147 | |
| (501) 603-0324 |
| Full Name | Rivendell Behavioral Health Services Of Ar |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1405 N Pierce St, Little Rock, Arkansas |
| Authorized Official Name and Position | Lisa Elizabeth Lewis (THERAPIST) |
| Authorized Official Contact | 5016032147 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rivendell Behavioral Health Services Of Ar 100 Rivendell Dr Benton AR 72015-9188 Ph: (501) 316-1255 | Rivendell Behavioral Health Services Of Ar 1405 N Pierce St Suite 101 Little Rock AR 72207-5349 Ph: (501) 603-2147 |
| NPI Number | 1851405468 |
|---|---|
| Provider Enumeration Date | 08/19/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851405468 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 1382-C (Arkansas) | Primary |
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