Provider Demographics
NPI:1831609262
Name:CARPENTER, BILL J SR (LMFT, LPC)
Entity type:Individual
Prefix:
First Name:BILL
Middle Name:J
Last Name:CARPENTER
Suffix:SR
Gender:M
Credentials:LMFT, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4700 W COMMERCIAL DR STE B3
Mailing Address - Street 2:
Mailing Address - City:NORTH LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72116-8073
Mailing Address - Country:US
Mailing Address - Phone:501-920-6096
Mailing Address - Fax:844-732-5392
Practice Address - Street 1:4700 W COMMERCIAL DR STE B3
Practice Address - Street 2:
Practice Address - City:NORTH LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72116
Practice Address - Country:US
Practice Address - Phone:501-920-6096
Practice Address - Fax:844-732-5392
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-12
Last Update Date:2020-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARM1804009101YM0800X
ARP1804055101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
ARM1804009OtherLICENSED MARRIAGE AND FAMILY THERAPIST
ARP1804055OtherLICENSED PROFESSIONAL COUNSELOR