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Organization

HOPES BRIDGE OF FORT SMITH INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AUSTIN LEE COATS CIT, RDS, PIT (DIRECTOR)
(479) 974-1001
Entity
Organization

Contact information

Practice address
4109 N 55TH ST, FORT SMITH, AR 72904-2613
(479) 974-1001
Mailing address
204 LAKEVIEW CT, FORT SMITH, AR 72903-2136
(479) 974-1001

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YM0800X
Mental Health Counselor
101YP2500X
Professional Counselor
104100000X
Social Worker
1041C0700X
Clinical Social Worker
Primary
171M00000X
Case Manager/Care Coordinator
175T00000X
Peer Specialist

Other

Enumeration date
04/15/2024
Last updated
04/16/2024
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