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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