NPI Profile for COATC LLC in LITTLE ROCK, AR.
Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Addiction Psychiatry |
2084P0802X | 86 | Physician/Neuropsychiatry | |
Addiction (Substance Use Disorder) |
163WA0400X | |||
Addiction (Substance Use Disorder) |
101YA0400X | |||
Addiction (Substance Use Disorder) |
103TA0400X | 62 | Psychologist, Clinical | |
Clinical |
1041C0700X | 80 | Licensed Clinical Social Worker | |
Professional |
101YP2500X |
| NPI Number | 1982226221 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 05/09/2020 | |
| Last updated | 05/09/2020 - About 6 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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| KATHERINE RUSSELL, MHPP 20400 COL GLENN RD LITTLE ROCK, AR |
| LESA L DOAN, LCSW ACSW BCD RPTS 11215 HERMITAGE LITTLE ROCK, AR |
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| AMERICAN CARE FOUNDATION 8116 DEPRIEST RD MABELVALE, AR |
| STEPHEN PEAIRSON JR, LCSW 110 PEARSON BENTON, AR |
| CATHERINE A SIMMONS, RN 3214 WINCHESTER DRIVE BENTON, AR |