Organization
COUNSELING ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY BUNCH (CREDENTIALING SUPERVISOR)
(479) 725-5115
Entity
Organization
Contact information
Practice address
1404 E 16TH ST, RUSSELLVILLE, AR 72802-2648
(479) 967-2024
Mailing address
110 SKYLINE DR, RUSSELLVILLE, AR 72801-3362
(479) 967-5570
(479) 890-5364
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
06/20/2019
Last updated
05/04/2023
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