DR. CHARLES RICHARD CHAMBLEE JR. (NPI# 1285979609) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285979609 |
| Entity Type | Individual |
| Full Name | DR. CHARLES RICHARD CHAMBLEE JR. |
| Credential | D.MIN; M.DIV; L.A.C. |
| Practice Address |
11401 I-30 Little Rock AR 72209-7042 |
| Mailing Address |
11401 I-30 Baptist Health Southwest Campus Little Rock AR 72209-7042 |
| Practice Telephone | 5012027587 |
| Mailing Telephone | 5012027587 |
| Enumeration Date | 2012-12-11 |
| Last Update Date | 2013-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
A1203022 | AR | Behavioral Health & Social Service Providers |
| Street Address |
11401 I-30 |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72209-7042 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386280527 | Tiffany Williams | Counselor | 9914 I-30 Frontage, Little Rock, AR 72209 | 2019-11-22 |
| 1659913861 | Jerry Dean Swiney | Technician | 8401 Community Road, Little Rock, AR 72209 | 2019-10-09 |
| 1720501307 | A2z Therapy of Little Rock | Clinic/Center | 10702 Warren Dr, Little Rock, AR 72209 | 2017-07-25 |
| 1235582560 | Elite Medical Care, LLC | Respiratory Therapist, Registered | 11701 Interstate 30 Ste 100, Little Rock, AR 72209 | 2016-07-21 |
| 1154772127 | Aminah Henderson | Case Manager/Care Coordinator | 9914 I-30 Frontage Rd., Little Rock, AR 72209 | 2016-06-30 |
| 1295151504 | Properly Aligned LLC | Chiropractor | 7117 Geyer Springs, Little Rock, AR 72209 | 2014-03-11 |
| 1396178471 | Renal Treatment Centers - Southeast Lp | Clinic/Center | 6115 Baseline Rd, Ste 100, Little Rock, AR 72209 | 2013-08-13 |
| 1124378039 | Samuel Edward Adkins | Counselor | 9914 I-30 Frontage Road, Little Rock, AR 72209 | 2012-09-18 |
| 1073806790 | Gabrielle Stewart | Counselor | 9914 I-30 Frontage Rd, Little Rock, AR 72209 | 2011-05-27 |
| 1285951079 | Charles Jenson | Psychiatry & Neurology | 11321 Interstate 30 Ste 304, Little Rock, AR 72209 | 2010-05-03 |
| Find all providers in zip 72209 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487290888 | John Hunter Bramlitt | Counselor | 12320 I-30, Little Rock, AR 72210 | 2019-11-20 |
| 1114562071 | Ariel Brown | Counselor | 10 Remington Dr, Little Rock, AR 72204-8202 | 2019-11-14 |
| 1972159267 | Arkansas Baptist Children's Homes and Family Ministries | Counselor | 12400 I-30, Little Rock, AR 72210 | 2019-08-13 |
| 1518526664 | James Wesley Johnson Jr. | Counselor | 415 N Mckinley St Ste 520, Little Rock, AR 72205-3175 | 2019-06-12 |
| 1497210199 | Integrative Counseling Center LLC | Counselor | 10515 W Markham St Ste D3, Little Rock, AR 72205 | 2019-02-06 |
| 1255886560 | Amelia H Lewis | Counselor | 12115 Hinson Rd Ste 400, Little Rock, AR 72212-3476 | 2016-08-17 |
| 1003234675 | Jill Gorman Lpc LLC | Counselor | 1501 N University Ave Ste 700, Little Rock, AR 72207-5297 | 2014-04-01 |
| 1780926857 | Ezekeil Kinchen | Counselor | 3804 W Charles Bussey Ave, 3804 W Chas Bussey Ave, Little Rock, AR 72204-3902 | 2013-03-26 |
| 1992062996 | Whitney Norris | Counselor | 10800 Financial Ctr, #290, Little Rock, AR 72211 | 2012-04-13 |
| 1295091676 | Crane Counseling Services | Counselor | 1400 W Markham St, Ste. 308b-c, Little Rock, AR 72201-1840 | 2012-04-10 |
| Find all providers in LITTLE ROCK | ||||
| City | LITTLE ROCK |
| Zip Code | 72209 |
Please comment or provide details below to improve the information on DR. CHARLES RICHARD CHAMBLEE JR..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.