Basic Information
| Provider Information | |||||||||
| NPI: | 1437339157 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | GRAUPNER | ||||||||
| FirstName: | REBA | ||||||||
| MiddleName: | MAE | ||||||||
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| Credential: | LCSW | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1600 ALDERSGATE RD STE 200 | ||||||||
| Address2: | |||||||||
| City: | LITTLE ROCK | ||||||||
| State: | AR | ||||||||
| PostalCode: | 722056676 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5016610720 | ||||||||
| FaxNumber: | 5013257938 | ||||||||
| Practice Location | |||||||||
| Address1: | 201 E SCHOOL ST | ||||||||
| Address2: | |||||||||
| City: | LINCOLN | ||||||||
| State: | AR | ||||||||
| PostalCode: | 72744 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4794667858 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 11/09/2007 | ||||||||
| LastUpdateDate: | 07/03/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 104100000X | 2332-C | AR | N | Behavioral Health & Social Service Providers | Social Worker | 104100000X | 1989-M | AR | N | Behavioral Health & Social Service Providers | Social Worker | 1041C0700X | 2332-C | AR | Y | Behavioral Health & Social Service Providers | Social Worker | Clinical |
No ID Information.