Organization
NIKKI PENN COUNSELING AND CONSULTING, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTORIA FITTERLING (BILLING MANAGER)
(870) 793-0071
Entity
Organization
Contact information
Practice address
1275 E COLLEGE ST, BATESVILLE, AR 72501-3548
(870) 793-0071
(888) 683-9687
Mailing address
PO BOX 2523, BATESVILLE, AR 72503-2523
(870) 793-0071
(888) 683-9687
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
092L
AR
101YP2500X
Professional Counselor
Primary
P0405022
AR
106H00000X
Marriage & Family Therapist
M0405001
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M0405001
LMFT
AR
01
—
P0405022
LPC
AR
Enumeration date
08/30/2018
Last updated
08/30/2018
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