Provider Demographics
NPI:1083171771
Name:ROGERS CONSULTING LLC
Entity Type:Organization
Organization Name:ROGERS CONSULTING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THEARPIST
Authorized Official - Prefix:
Authorized Official - First Name:TEMIKA
Authorized Official - Middle Name:RONNECCHIA
Authorized Official - Last Name:ROGERS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:870-718-2349
Mailing Address - Street 1:PO BOX 1926
Mailing Address - Street 2:
Mailing Address - City:PINE BLUFF
Mailing Address - State:AR
Mailing Address - Zip Code:71613-1926
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:813 W 6TH AVE
Practice Address - Street 2:
Practice Address - City:PINE BLUFF
Practice Address - State:AR
Practice Address - Zip Code:71601-4031
Practice Address - Country:US
Practice Address - Phone:870-568-4502
Practice Address - Fax:870-395-7086
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-28
Last Update Date:2019-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty