Doctor Name: | AARON KENNETH LEVERETTE |
NPI Number: | 1366803702 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LAC |
License Number: | A1602014 |
Business Practice Address: | 1719 Merrill Dr Little Rock, AR - 722124009 |
Business Phone Number: | 5016632199 |
Business Fax Number: | 5016632234 |
Mailing Address: | 1719 Merrill Dr, LITTLE ROCK |
State: | AR |
Postal Code: | 722124009 |
Phone Number: | 5016632199 |
Fax Number: | 5016632234 |
NPI Enumeration Date: | 03/13/2016 |
NPI Last Update Date: | 03/13/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | A1602014 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |