Healthcare Provider Details

I. General information

NPI: 1487205357
Provider Name (Legal Business Name): CENTRAL ARKANSAS PSYCHOLOGICAL SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/23/2019
Last Update Date: 09/23/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

523 N UNIVERSITY AVE
LITTLE ROCK AR
72205-2916
US

IV. Provider business mailing address

523 N UNIVERSITY AVE
LITTLE ROCK AR
72205-2916
US

V. Phone/Fax

Practice location:
  • Phone: 501-993-3712
  • Fax:
Mailing address:
  • Phone: 501-993-3712
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. HUGO B MORAIS
Title or Position: PSYCHOLOGIST
Credential: PH.D.
Phone: 501-993-3712