Organization
FAMILY COUNSELING & DIAGNOSTIC CLINIC
Active
Organization
FAMILY COUNSELING & DIAGNOSTIC CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS HEISLER PH.D (OWNER)
18706331737
Entity
Organization
Contact information
Practice address
3998 HIGHWAY 1 N, FORREST CITY, AR 72335-7637
(870) 633-1737
(870) 633-1738
Mailing address
PO BOX 66, WYNNE, AR 72396-0066
(870) 633-1737
(870) 633-1738
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
12763
AR
101YP2500X
Professional Counselor
12763
AR
133N00000X
Nutritionist
Primary
12763
AR
163W00000X
Registered Nurse
12763
AR
164W00000X
Licensed Practical Nurse
12763
AR
224Z00000X
Occupational Therapy Assistant
12763
AR
225100000X
Physical Therapist
12763
AR
225200000X
Physical Therapy Assistant
12763
AR
225X00000X
Occupational Therapist
12763
AR
235Z00000X
Speech-Language Pathologist
12763
AR
Other
Enumeration date
04/11/2007
Last updated
09/11/2025
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