| Balanced Space Counseling Services, Pllc | |
|
2723 Foxcroft Rd Ste 202e Little Rock AR 72227-6522 | |
| (501) 612-7877 | |
| Not Available |
| Full Name | Balanced Space Counseling Services, Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2723 Foxcroft Rd Ste 202e, Little Rock, Arkansas |
| Authorized Official Name and Position | Michael Brandon Rogers (CHIEF OFFICER) |
| Authorized Official Contact | 5016127877 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Balanced Space Counseling Services, Pllc 6 Emerald Ct Little Rock AR 72212-2107 Ph: (501) 612-7877 | Balanced Space Counseling Services, Pllc 2723 Foxcroft Rd Ste 202e Little Rock AR 72227-6522 Ph: (501) 612-7877 |
| NPI Number | 1730617705 |
|---|---|
| Provider Enumeration Date | 06/02/2017 |
| Last Update Date | 06/02/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730617705 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6653-C (Arkansas) | Primary |
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