| Organization Name: | STATE OF THE HEART COUNSELING SERVICES, INC. |
| NPI Number: | 1003119751 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ANDREA MICHELLE FRESH (DIRECTOR) |
| Mailing Address: | 7123 I-30 Suite 6 Little Rock |
| State: | AR US |
| Postal Code: | 722093121 |
| Phone Number: | 5014140070 |
| Fax Number: | |
| NPI Enumeration Date: | 12/17/2010 |
| NPI Last Update Date: | 03/27/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 2117-C |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AR |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |