Most Relevant Information
Provider Data
| NPI Number: | 1003056938 |
| Provider Name: | CHARLIE SIMPSON LAMFT, LAC |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/05/2009 |
| Last Updated: | 12/18/2012 |
Provider Practice Location
4 SHACKLEFORD PLZ STE 100
LITTLE ROCK
AR
722111843
Practice Location Phone/Fax
| Phone: | 5013131185 |
| Fax: |
Provider Mailing Location
PO BOX 251703
LITTLE ROCK
AR
722251703
Provider Mailing Phone/Fax
| Phone: | 5019527518 |
| Fax: |