Organization
LAKEWOOD BEHAVIORAL HEALTH ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM ALEXANDER WILSON LPC, LMFT (CLINIC DIRECTOR)
(501) 753-1616
Entity
Organization
Contact information
Practice address
4020 RICHARDS RD, SUITE F, NORTH LITTLE ROCK, AR 72117-2650
(501) 753-1616
(501) 753-8471
Mailing address
4020 RICHARDS RD, SUITE F, NORTH LITTLE ROCK, AR 72117-2650
(501) 753-1616
(501) 753-8471
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
P0108037
AR
101YP2500X
Professional Counselor
P8709020
AR
103TC0700X
Clinical Psychologist
75-23P
AR
1041C0700X
Clinical Social Worker
989-C
AR
2084P0800X
Psychiatry Physician
C-6813
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33-DE3206
MEDICARE RAILROAD
AR
Enumeration date
08/17/2006
Last updated
09/11/2025
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