Doctor Name: | MS. SABRINA LOUESA BLEVINS |
NPI Number: | 1003951682 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 2436-C |
Business Practice Address: | 9601 Vaughn Dr Suite 100 Little Rock, AR - 722056754 |
Business Phone Number: | 5016267008 |
Business Fax Number: | |
Mailing Address: | 9601 Vaughn Dr, LITTLE ROCK |
State: | AR |
Postal Code: | 722056754 |
Phone Number: | 5016267008 |
Fax Number: | |
NPI Enumeration Date: | 02/21/2007 |
NPI Last Update Date: | 09/19/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 2436-C |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |