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Organization
RIVENDELL BEHAVIORAL HEALTH SERVICES OF AR
Active
Organization
RIVENDELL BEHAVIORAL HEALTH SERVICES OF AR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA ELIZABETH LEWIS LCSW (THERAPIST)
(501) 603-2147
Entity
Organization
Contact information
Practice address
1405 N PIERCE ST, SUITE 101, LITTLE ROCK, AR 72207-5349
(501) 603-2147
(501) 603-0324
Mailing address
100 RIVENDELL DR, BENTON, AR 72015-9188
(501) 316-1255
(501) 794-0908
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
1382-C
AR
Other
Enumeration date
08/19/2006
Last updated
08/22/2020
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