Provider Demographics
NPI:1144951450
Name:LITTEKEN, ARTHUR HENRY II (MA)
Entity type:Individual
Prefix:
First Name:ARTHUR
Middle Name:HENRY
Last Name:LITTEKEN
Suffix:II
Gender:M
Credentials:MA
Other - Prefix:MR
Other - First Name:ARTHUR
Other - Middle Name:HENRY
Other - Last Name:LITTEKEN
Other - Suffix:II
Other - Last Name Type:Professional Name
Other - Credentials:MA
Mailing Address - Street 1:689 HIGHWAY 71 W SPC 250
Mailing Address - Street 2:
Mailing Address - City:BASTROP
Mailing Address - State:TX
Mailing Address - Zip Code:78602-3749
Mailing Address - Country:US
Mailing Address - Phone:940-631-3000
Mailing Address - Fax:
Practice Address - Street 1:689 HIGHWAY 71 W SPC 250
Practice Address - Street 2:
Practice Address - City:BASTROP
Practice Address - State:TX
Practice Address - Zip Code:78602-3749
Practice Address - Country:US
Practice Address - Phone:940-631-3000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-19
Last Update Date:2022-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13154101YA0400X
TX76831101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)