| State Of The Heart Counseling Services, Inc. | |
|
7123 I-30 Suite 6 Little Rock AR 72209-3121 | |
| (501) 414-0070 | |
| Not Available |
| Full Name | State Of The Heart Counseling Services, Inc. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 7123 I-30, Little Rock, Arkansas |
| Authorized Official Name and Position | Andrea Michelle Fresh (DIRECTOR) |
| Authorized Official Contact | 5014422293 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| State Of The Heart Counseling Services, Inc. Po Box 451 Little Rock AR 72203-0451 Ph: (501) 442-2293 | State Of The Heart Counseling Services, Inc. 7123 I-30 Suite 6 Little Rock AR 72209-3121 Ph: (501) 414-0070 |
| NPI Number | 1003119751 |
|---|---|
| Provider Enumeration Date | 12/17/2010 |
| Last Update Date | 03/27/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003119751 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 2117-C (Arkansas) | Primary |
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