| Counseling Associates Inc | |
|
1404 E 16th St Russellville AR 72802-2648 | |
| (479) 967-2024 | |
| Not Available |
| Full Name | Counseling Associates Inc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1404 E 16th St, Russellville, Arkansas |
| Authorized Official Name and Position | Kelly Bunch (CREDENTIALING SUPERVISOR) |
| Authorized Official Contact | 4797255115 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Counseling Associates Inc 110 Skyline Dr Russellville AR 72801-3362 Ph: (479) 967-5570 | Counseling Associates Inc 1404 E 16th St Russellville AR 72802-2648 Ph: (479) 967-2024 |
| NPI Number | 1336709344 |
|---|---|
| Provider Enumeration Date | 06/20/2019 |
| Last Update Date | 05/04/2023 |
| Certification Date | 05/04/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336709344 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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