Doctor Name: | MRS. ADRIENNE REEVES |
NPI Number: | 1003193822 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | L.P.E. |
License Number: | 10-09E |
Business Practice Address: | 5800 W 10th St Suite 101 Little Rock, AR - 722041752 |
Business Phone Number: | 5016668686 |
Business Fax Number: | 5016606838 |
Mailing Address: | 6601 W 12th St, LITTLE ROCK |
State: | AR |
Postal Code: | 722041513 |
Phone Number: | 5016668686 |
Fax Number: | 5016606838 |
NPI Enumeration Date: | 11/08/2011 |
NPI Last Update Date: | 11/08/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 10-09E |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |