COUNSELING ASSOCIATES INC NPI 1962654251

NPI Information

NPI: 1962654251
Provider Name: COUNSELING ASSOCIATES, INC
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

CLIA Number: 04D2246602

Address:
350 SALEM RD
SUITE 1
CONWAY, AR
ZIP 72034
Phone: (501) 336-8300
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COUNSELING ASSOCIATES, INC is a mental health (including community mental health center) clinic center in Conway, AR. COUNSELING ASSOCIATES, INC NPI is 1962654251. The provider is registered as an organization entity type.

The provider's business location address is:

350 SALEM RD
SUITE 1
CONWAY, AR
ZIP 72034-525
Phone: (501) 336-8300
Fax: (501) 329-5508

The provider's authorized official is Brian Lutz .
The authorized official title is Chief Financial Officer and has the following contact phone number (479) 967-5570.

The CLIA number assigned to this NPI record is 04D2246602 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/17/2008 and was last updated on 10/17/2008.

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	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: 11/14/2023

NPI Synchronization or Removal

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