| Vineyard Counseling Llc | |
|
2703 Se G St Ste 1 Bentonville AR 72712-3741 | |
| (479) 368-2911 | |
| (479) 391-5254 |
| Full Name | Vineyard Counseling Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2703 Se G St Ste 1, Bentonville, Arkansas |
| Authorized Official Name and Position | Jonathan Rucker (OWNER) |
| Authorized Official Contact | 4793682911 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vineyard Counseling Llc 13767 Pella Ln Neosho MO 64850-8781 Ph: (479) 368-2911 | Vineyard Counseling Llc 2703 Se G St Ste 1 Bentonville AR 72712-3741 Ph: (479) 368-2911 |
| NPI Number | 1245070762 |
|---|---|
| Provider Enumeration Date | 05/31/2024 |
| Last Update Date | 10/31/2024 |
| Certification Date | 10/31/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245070762 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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