Provider Demographics
NPI:1912079245
Name:ROWELL, JOSEPH ALAN (EDS, LPC)
Entity Type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:ALAN
Last Name:ROWELL
Suffix:
Gender:M
Credentials:EDS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17200 CHENAL PKWY STE 300
Mailing Address - Street 2:#325
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72223-5965
Mailing Address - Country:US
Mailing Address - Phone:501-476-5531
Mailing Address - Fax:501-476-5531
Practice Address - Street 1:25 RAHLING CIR STE D
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72223-6000
Practice Address - Country:US
Practice Address - Phone:501-476-5531
Practice Address - Fax:501-476-5531
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-14
Last Update Date:2024-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
171M00000X
ARP1505043101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No171M00000XOther Service ProvidersCase Manager/Care Coordinator
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR228119719Medicaid