| Back To Basics Counseling Services | |
|
4943 Old Greenwood Rd Suite 2 Fort Smith AR 72903 | |
| (479) 719-7051 | |
| (478) 242-2653 |
| Full Name | Back To Basics Counseling Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4943 Old Greenwood Rd, Fort Smith, Arkansas |
| Authorized Official Name and Position | Ila Maureen Debose (OWNER) |
| Authorized Official Contact | 4797197051 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Back To Basics Counseling Services 5410 Free Ferry Rd Fort Smith AR 72903 Ph: (479) 719-7051 | Back To Basics Counseling Services 4943 Old Greenwood Rd Suite 2 Fort Smith AR 72903 Ph: (479) 719-7051 |
| NPI Number | 1780950683 |
|---|---|
| Provider Enumeration Date | 03/26/2012 |
| Last Update Date | 04/27/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780950683 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 2158-C (Arkansas) | Secondary |
| 251S00000X | Community/behavioral Health | (Arkansas) | Primary |
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