Provider Demographics
NPI:1770356743
Name:ROESCH, JAMES EDWARD (LMFT)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:EDWARD
Last Name:ROESCH
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:915 E BEEBE CAPPS EXPY
Mailing Address - Street 2:
Mailing Address - City:SEARCY
Mailing Address - State:AR
Mailing Address - Zip Code:72143-6865
Mailing Address - Country:US
Mailing Address - Phone:501-827-0989
Mailing Address - Fax:877-310-6350
Practice Address - Street 1:915 E BEEBE CAPPS EXPY
Practice Address - Street 2:
Practice Address - City:SEARCY
Practice Address - State:AR
Practice Address - Zip Code:72143-6865
Practice Address - Country:US
Practice Address - Phone:501-729-1700
Practice Address - Fax:501-391-3090
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-01
Last Update Date:2023-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARM2202000106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist