| Counseling Affect | |
|
995 N Shiloh Dr Fayetteville AR 72701-1532 | |
| (479) 430-2323 | |
| (479) 269-4977 |
| Full Name | Counseling Affect |
|---|---|
| Speciality | Counselor - Professional |
| Location | 995 N Shiloh Dr, Fayetteville, Arkansas |
| Authorized Official Name and Position | Sara Louise Campbell (OWNER/THERAPIST) |
| Authorized Official Contact | 4794302323 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Counseling Affect 995 N Shiloh Dr Fayetteville AR 72701-1532 Ph: (479) 430-2323 | Counseling Affect 995 N Shiloh Dr Fayetteville AR 72701-1532 Ph: (479) 430-2323 |
| NPI Number | 1417543216 |
|---|---|
| Provider Enumeration Date | 12/15/2020 |
| Last Update Date | 12/15/2020 |
| Certification Date | 12/15/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417543216 | NPI | - | NPPES |
| 227774719 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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