Healthcare Provider Details

I. General information

NPI: 1326358318
Provider Name (Legal Business Name): JAYME HEJL LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/08/2010
Last Update Date: 07/16/2024
Certification Date: 07/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 S RODNEY PARHAM RD
LITTLE ROCK AR
72205-4747
US

IV. Provider business mailing address

12710 MAIL ROUTE RD
LITTLE ROCK AR
72206-6178
US

V. Phone/Fax

Practice location:
  • Phone: 501-575-2344
  • Fax:
Mailing address:
  • Phone: 501-944-2738
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number2174-C
License Number StateAR
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: