# SOUTH ARKANSAS PSYCHOLOGICAL SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912655242
- **Authorized official:** C ALEXANDER WHITE LPE-I (PRESIDENT)
- **Authorized official phone:** (501) 351-3176

## Contact information

- **Practice address:** 3825 MOUNT CARMEL RD, BRYANT, AR 72022-6208
- **Practice address phone:** (501) 351-3176
- **Practice address fax:** (501) 213-0351
- **Mailing address:** PO BOX 434, SHERIDAN, AR 72150-0434
- **Mailing address phone:** (501) 351-3176
- **Mailing address fax:** (501) 213-0351

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | — | Yes |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | — | — |

## Other

- **Enumeration date:** 03/15/2022
- **Last updated:** 03/15/2022