Inhope Counseling Services Company | |
1305 E Main St Russellville AR 72801-5322 | |
(479) 393-9866 | |
(479) 358-1464 |
Full Name | Inhope Counseling Services Company |
---|---|
Speciality | Counselor |
Location | 1305 E Main St, Russellville, Arkansas |
Authorized Official Name and Position | Karen S Gongola (DOCTOR OF PSYCHOTHERAPY) |
Authorized Official Contact | 4793939866 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Inhope Counseling Services Company 1305 East Main Street Russellville AR 72801-5322 Ph: (479) 393-9866 | Inhope Counseling Services Company 1305 E Main St Russellville AR 72801-5322 Ph: (479) 393-9866 |
NPI Number | 1023496262 |
---|---|
Provider Enumeration Date | 05/07/2015 |
Last Update Date | 04/20/2024 |
Certification Date | 04/20/2024 |
Medicare PECOS PAC ID | 7911344247 |
---|---|
Medicare Enrollment ID | O20240322001255 |
Identifier | Type | State | Issuer |
---|---|---|---|
1023496262 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | P0512076 (Arkansas) | Primary |
Provider Name | Karen Sue Gongola |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1275784506 PECOS PAC ID: 8820435159 Enrollment ID: I20241127000608 |
Counseling Associates, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1400 E 16th St, Russellville, AR 72802 Phone: 479-967-1397 Fax: 479-890-5632 | |
A Gentle Journey Corportation Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 211 E 4th St, Russellville, AR 72801 Phone: 479-223-0326 | |
Tracy Tullos Southern Therapy Specialists Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 701 E Main St, Suite 2, Russellville, AR 72801 Phone: 479-576-2799 |