Provider Demographics
NPI:1982826830
Name:PRESLEY, EMMETT A (LCSW, DCSW, MSWAC)
Entity Type:Individual
Prefix:MR
First Name:EMMETT
Middle Name:A
Last Name:PRESLEY
Suffix:
Gender:M
Credentials:LCSW, DCSW, MSWAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 32
Mailing Address - Street 2:
Mailing Address - City:STATE UNIVERSITY
Mailing Address - State:AR
Mailing Address - Zip Code:72467-0032
Mailing Address - Country:US
Mailing Address - Phone:870-935-3625
Mailing Address - Fax:
Practice Address - Street 1:1817 WOODSPRINGS RD
Practice Address - Street 2:STE G
Practice Address - City:JONESBORO
Practice Address - State:AR
Practice Address - Zip Code:72401-0903
Practice Address - Country:US
Practice Address - Phone:870-934-9800
Practice Address - Fax:870-934-8463
Is Sole Proprietor?:No
Enumeration Date:2007-05-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARC-2181041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical