Provider Demographics
NPI:1053681122
Name:MOSBY, CHAPPELL LEIGH (LITTLE ROCK MHPP)
Entity Type:Individual
Prefix:MS
First Name:CHAPPELL
Middle Name:LEIGH
Last Name:MOSBY
Suffix:
Gender:F
Credentials:LITTLE ROCK MHPP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2616 ALLIS ST
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72204-5630
Mailing Address - Country:US
Mailing Address - Phone:501-952-3427
Mailing Address - Fax:
Practice Address - Street 1:323 CENTER ST STE 1401
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72201-2644
Practice Address - Country:US
Practice Address - Phone:501-412-5327
Practice Address - Fax:501-801-1816
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-06
Last Update Date:2023-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR101YA0400X
AR11684-M104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)