Provider Demographics
NPI:1841218393
Name:SENIOR RESOLUTION RESOURCES, INC.
Entity Type:Organization
Organization Name:SENIOR RESOLUTION RESOURCES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOCIAL WORKER
Authorized Official - Prefix:
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:RYANE
Authorized Official - Last Name:SOREY
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:501-312-7578
Mailing Address - Street 1:10810 EXECUTIVE CENTER DR
Mailing Address - Street 2:DANVILLE BUILDING, SUITE 303
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72211-4354
Mailing Address - Country:US
Mailing Address - Phone:501-312-7578
Mailing Address - Fax:501-312-7577
Practice Address - Street 1:10810 EXECUTIVE CENTER DR
Practice Address - Street 2:DANVILLE BUILDING, SUITE 303
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72211-4354
Practice Address - Country:US
Practice Address - Phone:501-312-7578
Practice Address - Fax:501-312-7577
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR1948-C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty