# ALLIANCE COUNSELING & THERAPY LLC

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

## Provider details

- **NPI number:** 1922367036
- **Authorized official:** MR. GARY LANE GREEN (OPERATING MANAGER)
- **Authorized official phone:** (479) 936-5944

## Contact information

- **Practice address:** 1232 W POPLAR ST, ROGERS, AR 72756-4246
- **Practice address phone:** (479) 936-5944
- **Practice address fax:** (479) 936-8330
- **Mailing address:** PO BOX 793, ROGERS, AR 72757-0793
- **Mailing address phone:** (479) 936-5944
- **Mailing address fax:** (479) 936-8330

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YP2500X | Professional Counselor | — | NULL | — |
| 101YP2500X | Professional Counselor | — | — | — |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 05/09/2012
- **Last updated:** 07/16/2012