Organization
HILLCREST CLINIC, INC.
Active
Organization
HILLCREST CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC I PHELPS PHD, LCSW (PRESIDENT)
(501) 680-4239
Entity
Organization
Contact information
Practice address
3000 KAVANAUGH BLVD STE 209A, LITTLE ROCK, AR 72205-3769
(501) 680-4239
Mailing address
1922 PINE VALLEY RD, LITTLE ROCK, AR 72207-1817
(501) 680-4239
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2293-C
AR
Other
Enumeration date
08/15/2013
Last updated
08/15/2013
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