Provider Demographics
NPI:1508975780
Name:LEFEBVRE, EDWARD LOUIS (LCSW)
Entity Type:Individual
Prefix:MR
First Name:EDWARD
Middle Name:LOUIS
Last Name:LEFEBVRE
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:11 FLORAL LN
Mailing Address - Street 2:
Mailing Address - City:NORTH LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72118-5111
Mailing Address - Country:US
Mailing Address - Phone:501-920-1352
Mailing Address - Fax:501-771-8549
Practice Address - Street 1:1815 PLEASANT GROVE AVENUE
Practice Address - Street 2:
Practice Address - City:JONESBORO
Practice Address - State:AR
Practice Address - Zip Code:72401
Practice Address - Country:US
Practice Address - Phone:501-920-1352
Practice Address - Fax:870-336-1339
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2012-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR357 C101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health