RIVERBASE COUNSELING CLINIC PLLC NPI 1790678894

NPI Information

  • NPI: 1790678894
  • Provider Name: RIVERBASE COUNSELING CLINIC PLLC
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Organization
  • Address: 2405 VILLA DR
    OZARK, AR
    ZIP 72949
  • Phone: (479) 214-4319

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NPI Details

RIVERBASE COUNSELING CLINIC PLLC is a professional counselor in Ozark, AR. RIVERBASE COUNSELING CLINIC PLLC NPI is 1790678894. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2405 VILLA DR
OZARK, AR
ZIP 72949-452
Phone: (479) 214-4319

The provider's authorized official is Lindsey Fultz .
The authorized official title is Manager and has the following contact phone number (479) 214-4319.

The enumeration date for this NPI number is 5/29/2025 and was last updated on 5/29/2025.

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
1101YP2500XCounselorProfessionalYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1P1701221OTHERARKANSASLPC
214028085OTHERARKANSASCAQH
31861785578OTHERARKANSASNPI
4322059795MEDICAIDARKANSAS

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: 11/21/2025

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