GORDON COUNSELING SERVICES LLC NPI 1881138733

NPI Information

NPI: 1881138733
Provider Name: GORDON COUNSELING SERVICES LLC

Doing Business As: ODYSSEY COUNSELING

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
15 E 5TH ST
MOUNTAIN HOME, AR
ZIP 72653
Phone: (870) 425-2030
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GORDON COUNSELING SERVICES LLC is a mental health (including community mental health center) clinic center in Mountain Home, AR. GORDON COUNSELING SERVICES LLC NPI is 1881138733. The provider is registered as an organization entity type.
The provider Is Doing Business As Odyssey Counseling.

The provider's business location address is:

15 E 5TH ST
MOUNTAIN HOME, AR
ZIP 72653-809
Phone: (870) 425-2030

The provider's authorized official is Christopher Gordon .
The authorized official title is Owner/professional Counselor and has the following contact phone number (714) 469-4601.

The enumeration date for this NPI number is 12/12/2016 and was last updated on 5/10/2023.

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	251S00000X	Community/Behavioral Health		P1505049	ARKANSAS	No
2	261QM0850X	Clinic/Center	Adult Mental Health			No
3	261QM0855X	Clinic/Center	Adolescent and Children Mental Health			No
4	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			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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