Organization Name: | COUNSELING CONSULTANTS |
NPI Number: | 1255507836 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JEANNE BOSCHERT (CEO) |
Mailing Address: | 750 Bridges Ave E Ste A Wynne |
State: | AR US |
Postal Code: | 723962343 |
Phone Number: | 8702383458 |
Fax Number: | 8702383745 |
NPI Enumeration Date: | 05/05/2008 |
NPI Last Update Date: | 05/05/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QM0801X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Mental Health (Including Community Mental Health Center) |
Taxonomy Definition: |