# LITTLE ROCK COMMUNITY MENTAL HEALTH CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851886352
- **Authorized official:** NICOLE M LEWIS LPN (LPN)
- **Authorized official phone:** (501) 686-9300

## Contact information

- **Practice address:** 1100 N. UNIVERSITY, LITTLE ROCK, AR 72205
- **Practice address phone:** (501) 686-9300
- **Mailing address:** 1100 N UNIVERSITY AVE, LITTLE ROCK, AR 72207-6343

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 164W00000X | Licensed Practical Nurse | L049916 | AR | Yes |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | LO49916 | AR | — |

## Other

- **Enumeration date:** 06/27/2018
- **Last updated:** 07/06/2018