Provider Demographics
NPI:1912424326
Name:CENTRAL ARKANSAS PSYCHOTHERAPY LLC
Entity Type:Organization
Organization Name:CENTRAL ARKANSAS PSYCHOTHERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AELICA
Authorized Official - Middle Name:I
Authorized Official - Last Name:ORSI
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:501-503-2800
Mailing Address - Street 1:10201 W MARKHAM ST STE 211
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72205-2181
Mailing Address - Country:US
Mailing Address - Phone:501-503-2800
Mailing Address - Fax:
Practice Address - Street 1:10201 W MARKHAM ST STE 320
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205-2195
Practice Address - Country:US
Practice Address - Phone:501-503-2800
Practice Address - Fax:888-965-5951
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-25
Last Update Date:2024-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR1373-C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty