| Prosper Counseling & Consulting Services, Pllc | |
|
8 Shackleford Plz Ste 316 Little Rock AR 72211-1852 | |
| (501) 222-7330 | |
| Not Available |
| Full Name | Prosper Counseling & Consulting Services, Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 8 Shackleford Plz Ste 316, Little Rock, Arkansas |
| Authorized Official Name and Position | Chasity R Jiles (PRIVATE PRACTICE) |
| Authorized Official Contact | 5012588646 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Prosper Counseling & Consulting Services, Pllc 3800 Holt St Little Rock AR 72204-6739 Ph: (501) 258-8646 | Prosper Counseling & Consulting Services, Pllc 8 Shackleford Plz Ste 316 Little Rock AR 72211-1852 Ph: (501) 222-7330 |
| NPI Number | 1083222756 |
|---|---|
| Provider Enumeration Date | 07/20/2020 |
| Last Update Date | 07/20/2020 |
| Certification Date | 07/20/2020 |
| Medicare PECOS PAC ID | 1355761677 |
|---|---|
| Medicare Enrollment ID | O20201026001101 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083222756 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Chasity Jiles |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902935562 PECOS PAC ID: 2264852581 Enrollment ID: I20201026001290 |
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