NPI 1881893758 · live from the CMS NPI Registry
Alise Nicole Atha, LCSW
Social Worker, Clinical in Little Rock, AR. National Provider Identifier 1881893758, active.
NPI record
| NPI | 1881893758 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 20400 Colonel Glenn Rd, Little Rock, AR 72210 |
| Practice phone | 501-821-5500 |
| Enumerated | July 12, 2007 |
| Last updated | January 12, 2012 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical primary | 1041C0700X | — (AR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.