Organization
THE HILLCREST CENTER FOR EMOTIONAL WELLBEING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID STREETT M.D. (PSYCHIATRIST)
(501) 664-4900
Entity
Organization
Contact information
Practice address
2701 KAVANAUGH BLVD, 209, LITTLE ROCK, AR 72205-3872
(501) 664-4900
(501) 664-4901
Mailing address
2701 KAVANAUGH BLVD, 209, LITTLE ROCK, AR 72205-3872
(501) 664-4900
(501) 664-4901
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
P0509059
AR
102L00000X
Psychoanalyst
Primary
E 1489
AR
1041C0700X
Clinical Social Worker
2242-C
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
140151001
—
AR
05
—
169773795
—
AR
05
—
178446795
—
AR
Enumeration date
06/18/2010
Last updated
06/18/2010
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