Jenkins, Tisha R

Jenkins, Tisha R is an individual health care provider with primary practice located at 302 S Main St , Malvern AR 72104-3737. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Jenkins, Tisha R can be contacted via phone (501) 786-9308.

Contact Information

Primary practice address
302 S Main St Malvern AR 72104-3737
Phone: (501) 786-9308
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 2581-M Arkansas
Behavioral Health & Social Service Providers / Clinical 1041C0700X 4482-C Arkansas

Profile Details

NPI number 1912230889
LBN Legal business name Jenkins, Tisha R
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 10th, 2009
Last updated Apr 15th, 2024 - about 7 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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