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Organization

STILL WATERS CONSULTING GROUP, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CAREN R MOORE PHD (OWNER/LICENSED PSYCHOLOGIST)
(501) 500-0190
Entity
Organization

Contact information

Practice address
505 W PERSHING BLVD STE C, NORTH LITTLE ROCK, AR 72114-2157
(501) 500-0190
(501) 492-6495
Mailing address
505 W PERSHING BLVD STE C, NORTH LITTLE ROCK, AR 72114-2157
(501) 500-0190
(501) 492-6495

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
101YP2500X
Professional Counselor
101YS0200X
School Counselor
103T00000X
Psychologist
Primary
103TF0000X
Family Psychologist
103TS0200X
School Psychologist
104100000X
Social Worker
1041C0700X
Clinical Social Worker
1041S0200X
School Social Worker
251B00000X
Case Management Agency
363L00000X
Nurse Practitioner

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5BL70
BLUE CROSS OF ARKANSAS
AR
Enumeration date
08/23/2019
Last updated
02/19/2024
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