| Texarkana Counseling Services, Llc | |
|
2118 N State Line Ave Texarkana AR 71854-3583 | |
| (870) 648-0290 | |
| (870) 774-1334 |
| Full Name | Texarkana Counseling Services, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2118 N State Line Ave, Texarkana, Arkansas |
| Authorized Official Name and Position | Malissa Hyman (OWNER/COUNSELOR) |
| Authorized Official Contact | 8707741333 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Texarkana Counseling Services, Llc 2118 N State Line Ave Texarkana AR 71854-3583 Ph: (870) 774-1333 | Texarkana Counseling Services, Llc 2118 N State Line Ave Texarkana AR 71854-3583 Ph: (870) 648-0290 |
| NPI Number | 1073012712 |
|---|---|
| Provider Enumeration Date | 02/08/2018 |
| Last Update Date | 07/12/2023 |
| Certification Date | 07/12/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073012712 | NPI | - | NPPES |
| 1346597531 | Other | AR | COMMERCIAL INSURANCE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | P1506059 (Arkansas) | Primary |
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