Provider Demographics
NPI:1710938493
Name:MAPLES, TERI DENISE (LPC)
Entity Type:Individual
Prefix:MS
First Name:TERI
Middle Name:DENISE
Last Name:MAPLES
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 S UNIVERSITY AVE
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72205-5215
Mailing Address - Country:US
Mailing Address - Phone:501-603-0812
Mailing Address - Fax:501-603-0870
Practice Address - Street 1:100 S UNIVERSITY AVE
Practice Address - Street 2:SUITE 207
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205-5213
Practice Address - Country:US
Practice Address - Phone:501-603-0812
Practice Address - Fax:501-603-0870
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-15
Last Update Date:2013-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPO401004101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional