Organization
EXPERIENCE COUNSELING CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY MOORE (OWNER/COO)
(870) 474-5001
Entity
Organization
Contact information
Practice address
1209 FERGUSON DR, BENTON, AR 72015-3596
(870) 470-5001
Mailing address
PO BOX 932, HOPE, AR 71802-0932
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
09/11/2023
Last updated
09/11/2023
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