EZEKEIL KINCHEN


Address: 3804 W Charles Bussey Ave, 3804 W Chas Bussey Ave, Little Rock, AR 72204-3902
Phone: 5016631359

EZEKEIL KINCHEN (NPI# 1780926857) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1780926857
Entity Type Individual
Full Name EZEKEIL KINCHEN
Credential MSW
Practice Address 3804 W Charles Bussey Ave
3804 W Chas Bussey Ave
Little Rock
AR 72204-3902
Mailing Address 3804 W Charles Bussey Ave
P.o. Box 2524
Little Rock
AR 72204-3902
Practice Telephone 5016631359
Mailing Telephone 5016631359
Enumeration Date 2013-03-26
Last Update Date 2013-03-26
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
409C AR Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
AR 104100000X 05

Office Location

Street Address 3804 W CHARLES BUSSEY AVE
3804 W CHAS BUSSEY AVE
City LITTLE ROCK
State AR
Zip Code 72204-3902

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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
1285979609 Charles Richard Chamblee Jr. Counselor 11401 I-30, Little Rock, AR 72209-7042 2012-12-11
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
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Competitor

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City LITTLE ROCK
Zip Code 72204

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Dataset Information

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.

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