Provider Demographics
NPI:1326185067
Name:WILKINS, BELVIA C (LCSW)
Entity Type:Individual
Prefix:MS
First Name:BELVIA
Middle Name:C
Last Name:WILKINS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:515 HOLLY ST
Mailing Address - Street 2:
Mailing Address - City:MC GEHEE
Mailing Address - State:AR
Mailing Address - Zip Code:71654-2146
Mailing Address - Country:US
Mailing Address - Phone:870-222-4500
Mailing Address - Fax:870-222-4505
Practice Address - Street 1:139 S MAIN ST
Practice Address - Street 2:
Practice Address - City:DUMAS
Practice Address - State:AR
Practice Address - Zip Code:71639-2222
Practice Address - Country:US
Practice Address - Phone:870-382-0735
Practice Address - Fax:870-382-0738
Is Sole Proprietor?:No
Enumeration Date:2007-01-31
Last Update Date:2008-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR2000C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical