| Second Story Counseling | |
|
4019 Massard Rd Fort Smith AR 72903-6221 | |
| (479) 242-3200 | |
| Not Available |
| Full Name | Second Story Counseling |
|---|---|
| Speciality | Counselor - Professional |
| Location | 4019 Massard Rd, Fort Smith, Arkansas |
| Authorized Official Name and Position | Celeste Nichols (SOLE MEMBER) |
| Authorized Official Contact | 4796523745 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Second Story Counseling 4300 Rogers Ave Ste 20-102 Fort Smith AR 72903-3143 Ph: (479) 652-3745 | Second Story Counseling 4019 Massard Rd Fort Smith AR 72903-6221 Ph: (479) 242-3200 |
| NPI Number | 1518542828 |
|---|---|
| Provider Enumeration Date | 03/17/2021 |
| Last Update Date | 03/17/2021 |
| Certification Date | 03/17/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518542828 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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