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FAMILY COUNSELING & DIAGNOSTIC CLINIC NPI 1770706103


NPI Information

NPI: 1770706103
Provider Name: FAMILY COUNSELING & DIAGNOSTIC CLINIC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
401 W MAIN ST
MARIANNA, AR
ZIP 72360
Phone: (870) 295-5280
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FAMILY COUNSELING & DIAGNOSTIC CLINIC is a mental health counselor in Marianna, AR. FAMILY COUNSELING & DIAGNOSTIC CLINIC NPI is 1770706103. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

401 W MAIN ST
MARIANNA, AR
ZIP 72360-102
Phone: (870) 295-5280
Fax: (870) 295-5390

The provider's authorized official is Thomas Heisler .
The authorized official title is Owner and has the following contact phone number 18702955280.

The enumeration date for this NPI number is 4/11/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YM0800XCounselorMental Health14012ARKANSASYes
2101YP2500XCounselorProfessional14012ARKANSASX
3133N00000XNutritionist14012ARKANSASX
4163W00000XRegistered Nurse14012ARKANSASX
5164W00000XLicensed Practical Nurse14012ARKANSASX
6224Z00000XOccupational Therapy Assistant14012ARKANSASX
7225100000XPhysical Therapist14012ARKANSASX
8225200000XPhysical Therapy Assistant14012ARKANSASX
9225X00000XOccupational Therapist14012ARKANSASX
10235Z00000XSpeech-Language Pathologist14012ARKANSASX

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.