| Waterstone Counseling Center, Llc | |
|
1672 South 48th Street Suite B Springdale AR 72762-5880 | |
| (479) 202-6300 | |
| (479) 202-6300 |
| Full Name | Waterstone Counseling Center, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1672 South 48th Street, Springdale, Arkansas |
| Authorized Official Name and Position | Sean Blakely Mcdonald (OWNER AND CLINICAL DIRECTOR) |
| Authorized Official Contact | 4792026300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Waterstone Counseling Center, Llc 1672 South 48th Street Suite B Springdale AR 72762-5880 Ph: (479) 202-6300 | Waterstone Counseling Center, Llc 1672 South 48th Street Suite B Springdale AR 72762-5880 Ph: (479) 202-6300 |
| NPI Number | 1164863981 |
|---|---|
| Provider Enumeration Date | 07/09/2013 |
| Last Update Date | 03/16/2021 |
| Certification Date | 03/16/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164863981 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | A1209072 (Arkansas) | Primary |
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