| Doctor Name: | DR. CHARMAINE CALDWELL |
| NPI Number: | 1003274499 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PHD, LPC/S/TA |
| License Number: | P1404042 |
| Business Practice Address: | Henderson St Education Building Arkadelphia, AR - 719990001 |
| Business Phone Number: | 8702305935 |
| Business Fax Number: | 8702305455 |
| Mailing Address: | Henderson St, Education Building ARKADELPHIA |
| State: | AR |
| Postal Code: | 719990001 |
| Phone Number: | 8702305935 |
| Fax Number: | 8702305455 |
| NPI Enumeration Date: | 02/01/2016 |
| NPI Last Update Date: | 02/01/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | P1404042 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AR |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |