NWA SECOND STAGE TRANSITION NPI 1679241939

NPI Information

NPI: 1679241939
Provider Name: NWA SECOND STAGE TRANSITION

Former Legal Business Name: NWA SECOND STAGE TRANSITION

Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
608 S HICO ST
SILOAM SPRINGS, AR
ZIP 72761
Phone: (479) 549-3737
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NWA SECOND STAGE TRANSITION is a mental health counselor in Siloam Springs, AR. NWA SECOND STAGE TRANSITION NPI is 1679241939. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Nwa Second Stage Transition.

The provider's business location address is:

608 S HICO ST
SILOAM SPRINGS, AR
ZIP 72761-740
Phone: (479) 549-3737

The provider's authorized official is Cecelia Dorko .
The authorized official title is Executive Director and has the following contact phone number (479) 547-3737.

The enumeration date for this NPI number is 9/1/2021 and was last updated on 4/25/2022.

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	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	No
2	101YP2500X	Counselor	Professional	No
3	101YM0800X	Counselor	Mental Health	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: 4/28/2024

NPI Synchronization or Removal

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