Healthcare Provider Details

I. General information

NPI: 1396910360
Provider Name (Legal Business Name): JOSEPH BOCAGE FEW LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/29/2008
Last Update Date: 06/21/2021
Certification Date: 06/21/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

221 W 2ND ST STE 519
LITTLE ROCK AR
72201-2505
US

IV. Provider business mailing address

5516 F ST APT B
LITTLE ROCK AR
72205-3432
US

V. Phone/Fax

Practice location:
  • Phone: 323-336-4836
  • Fax:
Mailing address:
  • Phone: 323-336-4836
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171W00000X
TaxonomyContractor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number1707334
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: