Provider Demographics
NPI:1730832544
Name:A REASON THERAPEUTIC SERVICES
Entity type:Organization
Organization Name:A REASON THERAPEUTIC SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BEHAVIORAL HEALTH THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:ALTERA
Authorized Official - Middle Name:
Authorized Official - Last Name:REASON
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:501-837-7082
Mailing Address - Street 1:201 W BROADWAY ST STE G18
Mailing Address - Street 2:
Mailing Address - City:NORTH LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72114-5541
Mailing Address - Country:US
Mailing Address - Phone:501-550-8792
Mailing Address - Fax:501-285-8321
Practice Address - Street 1:201 W BROADWAY ST STE G18
Practice Address - Street 2:
Practice Address - City:NORTH LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72114-5541
Practice Address - Country:US
Practice Address - Phone:501-550-8792
Practice Address - Fax:501-285-8321
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-01
Last Update Date:2022-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health