Organization
COUNSELING SERVICES OF EASTERN ARKANSAS
Active
Parent organization
COUNSELING SERVICES OF EASTERN ARKANSAS
Organization subpart
Yes
Provider details
NPI number
Legal business name
COUNSELING SERVICES OF EASTERN ARKANSAS
Authorized official
DONNIE LYERLY (PROVIDER CREDENTIALING)
(870) 972-4939
Entity
Organization
Contact information
Practice address
661 ADDISON DR, WYNNE, AR 72396-1602
(870) 238-1135
(870) 972-4911
Mailing address
2707 BROWNS LN, JONESBORO, AR 72401-7213
(870) 972-4939
(870) 972-4911
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
172063526
—
AR
Enumeration date
10/03/2008
Last updated
09/18/2009
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