Organization
MID STATE COUNSELING AND RECOVERY SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEON L AARON LCSW (CEO)
(501) 413-8977
Entity
Organization
Contact information
Practice address
1920 MAIN ST STE 229, NORTH LITTLE ROCK, AR 72114
(501) 413-8977
(501) 246-4407
Mailing address
1920 MAIN ST STE 229, NORTH LITTLE ROCK, AR 72114-2875
(501) 413-8977
(501) 246-4407
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
3000-C
AR
261QM0855X
Adolescent and Children Mental Health Clinic/Center
3000-C
AR
Other
Enumeration date
06/26/2018
Last updated
07/31/2018
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