Individual provider · NPI-1

Reed Balentine, LCSW

Social Worker, Clinical · North Little Rock, AR

NPI number1093196313
StatusActive
Last updated in NPPESDec 30, 2020

Details

NPI
1093196313
Entity type
Individual (NPI-1)
Name
Reed Balentine
Credential
LCSW
Sex
Male
Sole proprietor
Yes
Enumeration date
Jun 11, 2015
Certification date
Dec 30, 2020
Last updated
Dec 30, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical7579-CARYes

Practice location

3805 Mccain Park Dr Ste 112
North Little Rock, AR 72116-7813

Phone 501-594-3656

Mailing address

115 Steven Dr
Little Rock, AR 72205-2149

Phone 501-594-3656 · Fax 501-300-8412

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