Provider Demographics
NPI:1245462514
Name:JAMES, CONSEVELLA A (LCSW)
Entity type:Individual
Prefix:
First Name:CONSEVELLA
Middle Name:A
Last Name:JAMES
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 WEST 4TH STREET
Mailing Address - Street 2:TREATMENT HOMES, INC.
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72201
Mailing Address - Country:US
Mailing Address - Phone:501-372-5039
Mailing Address - Fax:501-372-5529
Practice Address - Street 1:700 WEST 4TH STREET
Practice Address - Street 2:TREATMENT HOMES, INC.
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72201
Practice Address - Country:US
Practice Address - Phone:501-372-5039
Practice Address - Fax:501-372-5529
Is Sole Proprietor?:No
Enumeration Date:2009-08-20
Last Update Date:2009-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical