Organization
FAMILY COUNSELING & DIAGNOSTIC CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS HEISLER PH.D (OWNER)
18703388106
Entity
Organization
Contact information
Practice address
515 MCDONOUGH, HELENA, AR 72342-2912
(870) 338-8106
(870) 338-3430
Mailing address
PO BOX 66, WYNNE, AR 72396-0066
(870) 338-8106
(870) 338-3430
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
16665
AR
101YP2500X
Professional Counselor
16665
AR
133N00000X
Nutritionist
16665
AR
163W00000X
Registered Nurse
16665
AR
164W00000X
Licensed Practical Nurse
Primary
16665
AR
224Z00000X
Occupational Therapy Assistant
16665
AR
225100000X
Physical Therapist
16665
AR
225200000X
Physical Therapy Assistant
16665
AR
225X00000X
Occupational Therapist
16665
AR
235Z00000X
Speech-Language Pathologist
16665
AR
Other
Enumeration date
04/11/2007
Last updated
09/11/2025
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