Provider Demographics
NPI:1710057393
Name:CHANNING, ROBERT (LPC)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:
Last Name:CHANNING
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:505 S ELM ST STE C
Mailing Address - Street 2:
Mailing Address - City:SEARCY
Mailing Address - State:AR
Mailing Address - Zip Code:72143-6604
Mailing Address - Country:US
Mailing Address - Phone:501-827-4491
Mailing Address - Fax:501-825-3077
Practice Address - Street 1:1925 W BEEBE CAPPS EXPY
Practice Address - Street 2:
Practice Address - City:SEARCY
Practice Address - State:AR
Practice Address - Zip Code:72143-5012
Practice Address - Country:US
Practice Address - Phone:501-825-3077
Practice Address - Fax:501-825-3077
Is Sole Proprietor?:No
Enumeration Date:2006-11-09
Last Update Date:2024-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARP0611060101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional