LACRETIA BRUCE


Address: 12 Fox Run Dr, Little Rock, AR 72210-7133
Phone: 5017657951

LACRETIA BRUCE (NPI# 1174024715) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1174024715
Entity Type Individual
Full Name LACRETIA BRUCE
Practice Address 12 Fox Run Dr
Little Rock
AR 72210-7133
Practice Telephone 5017657951
Mailing Telephone 5017657951
Enumeration Date 2018-02-27
Last Update Date 2018-02-27
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QD1600X Clinic/Center
Specialization: Developmental Disabilities
Ambulatory Health Care Facilities

Office Location

Street Address 12 FOX RUN DR
City LITTLE ROCK
State AR
Zip Code 72210-7133

Providers in the same location

NPI Name Taxonomy Address Enumeration
1407349772 Little Voices Speech Therapy Occupational Therapy Assistant 12 Fox Run Dr, Little Rock, AR 72210-7133 2018-06-12

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1487290888 John Hunter Bramlitt Counselor 12320 I-30, Little Rock, AR 72210 2019-11-20
1972159267 Arkansas Baptist Children's Homes and Family Ministries Counselor 12400 I-30, Little Rock, AR 72210 2019-08-13
1952956864 Hanrietta Evans Behavior Technician Youth Home Inc, 20302 Colonel Glenn Rd, Little Rock, AR 72210 2019-08-07
1821597287 Deanna Smith Counselor 12320 I-30 Frontage Road, Little Rock, AR 72210 2018-02-12
1922485481 Whitney Brown Social Worker 20400 Colonel Glenn, Little Rock, AR 72210 2015-05-04
1679978191 Jennifer Black Counselor 20302 Col Glenn Road, Little Rock, AR 72210 2014-10-27
1831593896 James William Takach Family Medicine 14519 Wimbledon Loop, Little Rock, AR 72210 2014-10-20
1811319734 Ben Malone Case Manager/Care Coordinator 20400 Col Glenn Road, Little Rock, AR 72210 2014-01-12
1487924296 Tara Brown Case Manager/Care Coordinator 20302 Colonel Glenn Rd., Little Rock, AR 72210 2012-01-10
1972889061 D. Rachelle Rial Case Manager/Care Coordinator 20400 Col Glenn Rd., Little Rock, AR 72210 2011-11-02
Find all providers in zip 72210

Taxonomy Information

Taxonomy Code 261QD1600X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Developmental Disabilities

Taxonomy Definition

An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1568864916 Easter Seals Arkansas Clinic/Center 3920 Woodland Heights Rd, Little Rock, AR 72212-2495 2014-09-17
1881005387 Access Group, Inc. Clinic/Center 10618 Breckenridge Dr, Little Rock, AR 72211-1802 2014-05-19
1386914844 Jlm Ventures, Inc. Clinic/Center 5 Remington Cove, Little Rock, AR 72204-8202 2011-12-30
1215050547 United Cerebral Palsy of Arkansas Clinic/Center 9720 N Rodney Parham Rd, Little Rock, AR 72227-6212 2007-04-10

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1962029694 Developmental Milestones Adult Day Center Clinic/Center 700 N Missouri St, West Memphis, AR 72301-3150 2020-06-29
1891334835 Abilities Pediatric Pllc Clinic/Center 908 Shorecrest Ave, Harrison, AR 72601-1953 2019-12-21
1912494527 Equestrian Zone Clinic/Center 4800 S Frankfort Ave, Russellville, AR 72802-0823 2018-04-18
1215348552 Tera Goodman Clinic/Center 15 Barber Dr, Hardy, AR 72542-9109 2014-05-08
1790124659 Kidscorp of Fayetteville, Inc Clinic/Center 2210 Main Dr, Springdale, AR 72762-6802 2013-06-24
1710322094 First Step Arkansas, LLC Clinic/Center 6263 Highway 49 South, Paragould, AR 72450 2013-05-01
1043536063 Cb King Uam Campus Clinic/Center 1711 East Ash Street, Mcgehee, AR 71654 2010-04-15
1508037870 Kids for The Future Rogers, Inc. Clinic/Center 3307 N Dixieland Rd, Rogers, AR 72756-6816 2008-03-14
1306979265 From The Beginning Chms Clinic Clinic/Center 120 Nix Ridge Rd, Ash Flat, AR 72513-9017 2007-03-13
1851458301 Boone County Independent Living, Inc. Clinic/Center 206 S Cherry St Ste D, Harrison, AR 72601-5044 2007-01-03
Find all providers with the same taxonomy

Competitor

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City LITTLE ROCK
Zip Code 72210

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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