Provider Demographics
NPI:1497343230
Name:THE PHARM, LLC
Entity Type:Organization
Organization Name:THE PHARM, LLC
Other - Org Name:CHAPPELL PSYCHOLOGICAL SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:LISA
Authorized Official - Middle Name:DANIELLE
Authorized Official - Last Name:CHAPPELL
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:501-412-0281
Mailing Address - Street 1:909 GREGORY ST
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72076-3015
Mailing Address - Country:US
Mailing Address - Phone:501-412-0281
Mailing Address - Fax:
Practice Address - Street 1:5800 EVERGREEN DR STE B
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205-1757
Practice Address - Country:US
Practice Address - Phone:501-596-3396
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-07
Last Update Date:2021-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Single Specialty