Provider Demographics
NPI:1912281387
Name:DICKSON, RITA JOY (LPC)
Entity Type:Individual
Prefix:
First Name:RITA
Middle Name:JOY
Last Name:DICKSON
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:RITA
Other - Middle Name:JOY
Other - Last Name:PURYEAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LAC
Mailing Address - Street 1:1600 ALDERSGATE RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72205-6676
Mailing Address - Country:US
Mailing Address - Phone:501-661-0720
Mailing Address - Fax:501-325-7938
Practice Address - Street 1:2239 S CARAWAY RD
Practice Address - Street 2:SUITE M
Practice Address - City:JONESBORO
Practice Address - State:AR
Practice Address - Zip Code:72401-6204
Practice Address - Country:US
Practice Address - Phone:870-910-3757
Practice Address - Fax:870-910-4999
Is Sole Proprietor?:No
Enumeration Date:2011-10-04
Last Update Date:2016-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARA1108085101Y00000X
ARP1603030101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor