Organization
PREVAIL COUNSELING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RACHEL NELSON LPC (INCORPORATOR)
(901) 295-9422
Entity
Organization
Contact information
Practice address
310 MID CONTINENT PLZ STE 404, WEST MEMPHIS, AR 72301-1700
(901) 294-9522
(855) 765-7701
Mailing address
706 CARTER DR, MARION, AR 72364-2403
(901) 295-9422
(855) 765-7701
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1811209745
MENTAL HEALTH THERAPIST
AR
Enumeration date
02/04/2019
Last updated
02/04/2019
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