Organization
CREATIVE COUNSELING CENTER OF NWA, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLOTTE EVANS LPC (CO OWNER)
(479) 257-1919
Entity
Organization
Contact information
Practice address
902 MCCLAIN RD STE 6003, BENTONVILLE, AR 72712-6379
(479) 257-1919
Mailing address
902 MCCLAIN RD STE 6003, BENTONVILLE, AR 72712-6379
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
09/16/2019
Last updated
09/16/2019
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