MID STATE COUNSELING AND RECOVERY SERVICE NPI 1316432966

NPI Information

NPI: 1316432966
Provider Name: MID STATE COUNSELING AND RECOVERY SERVICE
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
1920 MAIN ST STE 229
NORTH LITTLE ROCK, AR
ZIP 72114
Phone: (501) 413-8977
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MID STATE COUNSELING AND RECOVERY SERVICE is an adult mental health clinic center in North Little Rock, AR. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. MID STATE COUNSELING AND RECOVERY SERVICE NPI is 1316432966. The provider is registered as an organization entity type.

The provider's business location address is:

1920 MAIN ST STE 229
NORTH LITTLE ROCK, AR
ZIP 72114
Phone: (501) 413-8977
Fax: (501) 246-4407

The provider's authorized official is Deon L Aaron .
The authorized official title is Ceo and has the following contact phone number (501) 413-8977.

The enumeration date for this NPI number is 6/26/2018 and was last updated on 7/31/2018.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0855X	Clinic/Center	Adolescent and Children Mental Health	3000-C	ARKANSAS	No
2	261QM0850X	Clinic/Center	Adult Mental Health	3000-C	ARKANSAS	Yes

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: 11/14/2023

NPI Synchronization or Removal

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