Provider Demographics
NPI:1679366231
Name:SUGGS, FAYLISA L (SCHOOL COUNSELOR)
Entity type:Individual
Prefix:
First Name:FAYLISA
Middle Name:L
Last Name:SUGGS
Suffix:
Gender:F
Credentials:SCHOOL COUNSELOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2070
Mailing Address - Street 2:
Mailing Address - City:PINE BLUFF
Mailing Address - State:AR
Mailing Address - Zip Code:71613-2070
Mailing Address - Country:US
Mailing Address - Phone:214-649-0358
Mailing Address - Fax:
Practice Address - Street 1:717 W 7TH ST
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72201-4001
Practice Address - Country:US
Practice Address - Phone:501-664-4225
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-27
Last Update Date:2025-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR10088082101YS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool