Provider Demographics
NPI:1750465779
Name:REEVES, DARREN LEE (LCSW)
Entity Type:Individual
Prefix:MR
First Name:DARREN
Middle Name:LEE
Last Name:REEVES
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11001 EXECUTIVE CENTER DR STE 200
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72211-4393
Mailing Address - Country:US
Mailing Address - Phone:501-458-8385
Mailing Address - Fax:501-945-8835
Practice Address - Street 1:3401 SPRINGHILL DR STE 490
Practice Address - Street 2:
Practice Address - City:NORTH LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72117-2933
Practice Address - Country:US
Practice Address - Phone:501-945-8838
Practice Address - Fax:501-945-8835
Is Sole Proprietor?:No
Enumeration Date:2006-10-25
Last Update Date:2022-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR1348-C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR159638726Medicaid
AR5Y949Medicare PIN
5Y949Medicare PIN