Dava Lorene Brock, L.P.C. – Professional Counselor

Key facts

NPI: 1689779886
Entity type: Individual (NPI type 1)
Primary specialty: Professional Counselor 101YP2500X
License: P0711062 (AR)
Practice address: 2796 S 2ND St Ste E
Cabot, AR 72023-7043
Phone: (844) 514-5183
Fax: (501) 286-6046
NPI assigned: Sep 13, 2006
Sex: Female
Sole proprietor: No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Dava L Brock LPC PLLC Professional Counselor · Cabot, AR · NPI 1245014877

NPD PROFESSIONAL

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
A0403016	AR	MD	Professional Counselor
P0711062	AR	MD	Professional Counselor

Practice roles

Organization	Specialty	Status	New patients
Dava L Brock LPC PLLC	Professional	Current	Accepting new patients

Locations

2796 S 2nd St
Ste E
Cabot, AR 72023
Phone (501) 443-3818

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Professional Counselor	101YP2500X	P0711062	AR	Yes
Professional Counselor	101YP2500X	A0403016	AR

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

Other providers in Cabot, AR

All providers in Cabot, AR · Professional Counselor in Arkansas

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 8, 2023. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.