Provider Demographics
NPI:1225131345
Name:REED, LISA A (MSW/LMSW)
Entity Type:Individual
Prefix:
First Name:LISA
Middle Name:A
Last Name:REED
Suffix:
Gender:F
Credentials:MSW/LMSW
Other - Prefix:MRS
Other - First Name:LISA
Other - Middle Name:A
Other - Last Name:HOLLOWAY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMSW
Mailing Address - Street 1:PO BOX 15968
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72231-5968
Mailing Address - Country:US
Mailing Address - Phone:501-221-1843
Mailing Address - Fax:501-221-2376
Practice Address - Street 1:1109 BURMAN DR
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:AR
Practice Address - Zip Code:72076-4386
Practice Address - Country:US
Practice Address - Phone:501-982-7515
Practice Address - Fax:501-982-7510
Is Sole Proprietor?:No
Enumeration Date:2006-09-06
Last Update Date:2009-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR879-M104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker