Provider Demographics
NPI:1396863700
Name:GERST, EUGENE ROBERT JR (LPC, LMFT)
Entity Type:Individual
Prefix:MR
First Name:EUGENE
Middle Name:ROBERT
Last Name:GERST
Suffix:JR
Gender:M
Credentials:LPC, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 870
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72203-0870
Mailing Address - Country:US
Mailing Address - Phone:501-244-9950
Mailing Address - Fax:501-372-9600
Practice Address - Street 1:820 W 6TH STREET
Practice Address - Street 2:STE 200
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72201
Practice Address - Country:US
Practice Address - Phone:501-244-9950
Practice Address - Fax:501-372-9600
Is Sole Proprietor?:No
Enumeration Date:2007-03-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARP9108014101YA0400X
ARM9710011106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR5S487OtherBLUECROSSBLUESHIELD