JEFFERSON COMPREHENSIVE COUNSELING ASSOCIATES NPI 1700228558

NPI Information

NPI: 1700228558
Provider Name: JEFFERSON COMPREHENSIVE COUNSELING ASSOCIATES
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
2720 W 28TH AVE
PINE BLUFF, AR
ZIP 71603
Phone: (870) 247-5222
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JEFFERSON COMPREHENSIVE COUNSELING ASSOCIATES is a mental health counselor in Pine Bluff, AR. JEFFERSON COMPREHENSIVE COUNSELING ASSOCIATES NPI is 1700228558. The provider is registered as an organization entity type.

The provider's business location address is:

2720 W 28TH AVE
PINE BLUFF, AR
ZIP 71603-919
Phone: (870) 247-5222
Fax: (870) 671-4847

The provider's authorized official is Cherish E Billingsley .
The authorized official title is Administrative Director and has the following contact phone number (870) 247-5222.

The enumeration date for this NPI number is 7/22/2013 and was last updated on 1/13/2021.

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	P1211108	ARKANSAS	No
2	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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