Organization Active NPI

Dava L Brock LPC PLLC

  • Professional Counselor
  • Cabot, AR
National Provider Identifier
1245014877
Registry record updated Sep 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
DAVA L BROCK LPC PLLC
Practice address
2796 S 2ND St Ste E
Cabot, AR 72023-7043
Phone
(844) 514-5183
Fax
(501) 286-6046
NPI assigned
Aug 23, 2023
Last updated
Sep 8, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Chris Foster
Title
Office Manager
Phone
(844) 514-5183

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X Primary

Addresses

Primary practice location

2796 S 2ND St Ste E
Cabot, AR 72023-7043

Mailing address

2796 S 2ND St Ste E
Cabot, AR 72023-7043
Phone (844) 514-5183

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1692748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694131200000",
    "number": "1245014877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2796 S 2ND ST STE E",
            "city": "CABOT",
            "state": "AR",
            "postal_code": "720237043",
            "telephone_number": "844-514-5183",
            "fax_number": "501-286-6046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2796 S 2ND ST STE E",
            "city": "CABOT",
            "state": "AR",
            "postal_code": "720237043",
            "telephone_number": "844-514-5183",
            "fax_number": "501-286-6046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVA L BROCK LPC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-23",
        "last_updated": "2023-09-08",
        "certification_date": "2023-09-08",
        "status": "A",
        "authorized_official_last_name": "FOSTER",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "844-514-5183"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cabot, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.