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NPI Code Detail

MEDICARE: MR. DARREN LEE REEVES L.C.S.W.

MEDICARE: MR. DARREN LEE REEVES L.C.S.W.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker1348-CAR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1750465779
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. DARREN LEE REEVES L.C.S.W.
Provider Business Mailing Address
First Line : 11001 EXECUTIVE CENTER DR STE 200
Second Line :
City : LITTLE ROCK
State : AR
Zip : 72211-4393
Country : US
Telephone Number : 501-458-8385
Fax Number : 501-945-8835
Provider Business Practice Location Address
First Line : 3401 SPRINGHILL DR STE 490
Second Line :
City : NORTH LITTLE ROCK
State : AR
Zip : 72117-2933
Country : US
Telephone Number : 501-945-8838
Fax Number : 501-945-8835
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/25/2006
Last Update Date : 12/01/2022

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