Organization
ARKANSAS COUNSELING AND PSYCHODIAGNOSTICS, INC.
Active
Parent organization
ARKANSAS COUNSELING & PSYCHODIAGNOSTICS, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
ARKANSAS COUNSELING & PSYCHODIAGNOSTICS, INC.
Authorized official
CHARLES ADOLPH WEINER PSYCHOLOGIST (VICE PRESIDENT/COO)
(870) 230-8217
Entity
Organization
Contact information
Practice address
2607 CADDO ST STE 6, ARKADELPHIA, AR 71923-5307
(870) 230-8217
(870) 230-8201
Mailing address
2607 CADDO ST STE 6, ARKADELPHIA, AR 71923-5307
(870) 230-8217
(870) 230-8201
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
181395526
—
AR
05
—
222173526
—
AR
Enumeration date
04/13/2018
Last updated
04/13/2018
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