Healthcare Provider Details

I. General information

NPI: 1285941716
Provider Name (Legal Business Name): RECHELE ANNETTE MAYS LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/03/2010
Last Update Date: 09/25/2026
Certification Date: 09/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2024 DURWOOD RD
LITTLE ROCK AR
72207-4107
US

IV. Provider business mailing address

2024 DURWOOD RD
LITTLE ROCK AR
72207-4107
US

V. Phone/Fax

Practice location:
  • Phone: 337-205-3211
  • Fax:
Mailing address:
  • Phone: 337-205-3211
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number14595
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSW17441
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number11339-C
License Number StateAR
# 4
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number105370
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: