Provider Demographics
NPI:1346905825
Name:PEELER, CALVIN (LPC)
Entity type:Individual
Prefix:
First Name:CALVIN
Middle Name:
Last Name:PEELER
Suffix:
Gender:
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1102 SOUTH PINE STREET
Mailing Address - Street 2:SUITE 1
Mailing Address - City:CABOT
Mailing Address - State:AR
Mailing Address - Zip Code:72023-3840
Mailing Address - Country:US
Mailing Address - Phone:501-413-9924
Mailing Address - Fax:501-941-1380
Practice Address - Street 1:1102 SOUTH PINE STREET
Practice Address - Street 2:SUITE 1
Practice Address - City:CABOT
Practice Address - State:AR
Practice Address - Zip Code:72023-3840
Practice Address - Country:US
Practice Address - Phone:501-413-9924
Practice Address - Fax:501-941-1380
Is Sole Proprietor?:No
Enumeration Date:2021-11-01
Last Update Date:2025-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR171M00000X
ARP2402034101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No171M00000XOther Service ProvidersCase Manager/Care Coordinator