Healthcare Provider Details

I. General information

NPI: 1609101633
Provider Name (Legal Business Name): T & E JONES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/08/2009
Last Update Date: 03/01/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7600 S UNIVERSITY AVE SUITE 11
LITTLE ROCK AR
72209-3702
US

IV. Provider business mailing address

PO BOX 30583
LITTLE ROCK AR
72260-0010
US

V. Phone/Fax

Practice location:
  • Phone: 501-562-5439
  • Fax:
Mailing address:
  • Phone: 501-562-5439
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number883-M
License Number StateAR
# 2
Primary TaxonomyN
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number StateAR
# 3
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberPO711066
License Number StateAR

VIII. Authorized Official

Name: TARKEISHER TAWANA LAMBERT-JONES
Title or Position: OWNER/ DIRECTOR
Credential:
Phone: 501-562-5439