Individual provider · Type 1 NPI

Isis Jaijadea Pettway

Mental Health Counselor · Little Rock, AR

NPI number 1467969659 Active

Practice location

4224 Shuffield Dr
Little Rock, AR 72205-7211

Call (501) 526-8200 Map

Fax (501) 526-5296

Mailing address

4301 W Markham St # 783
Little Rock, AR 72205-7101

Other practice locations

  • 6601 W 12th St, Little Rock, AR 72204-1513 · (501) 666-8686
  • 4301 W Markham St # 568, Little Rock, AR 72205-7101 · (501) 526-8200

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XP2304012 (AR)

Mental Health Counselor: Definition to come...

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About NPI 1467969659

Isis Jaijadea Pettway's National Provider Identifier is 1467969659, issued on Jan 9, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Little Rock, AR. The record was last updated on Mar 6, 2024.