Provider Demographics
NPI:1508140476
Name:LARCHEZ, CHRISSIE (CADC)
Entity Type:Individual
Prefix:MS
First Name:CHRISSIE
Middle Name:
Last Name:LARCHEZ
Suffix:
Gender:F
Credentials:CADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:107 E CRANDALL AVE STE B
Mailing Address - Street 2:
Mailing Address - City:HARRISON
Mailing Address - State:AR
Mailing Address - Zip Code:72601-3629
Mailing Address - Country:US
Mailing Address - Phone:870-047-4882
Mailing Address - Fax:870-204-5654
Practice Address - Street 1:107 E CRANDALL AVE STE B
Practice Address - Street 2:
Practice Address - City:HARRISON
Practice Address - State:AR
Practice Address - Zip Code:72601-3629
Practice Address - Country:US
Practice Address - Phone:870-047-4882
Practice Address - Fax:870-204-5654
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-10
Last Update Date:2023-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No101Y00000XBehavioral Health & Social Service ProvidersCounselor