Organization
COUNSELING CLINIC, INC.
Active
Other names
Small Group Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT BENNETT LCSW (CEO)
(501) 315-4224
Entity
Organization
Contact information
Practice address
310 WHITTINGTON AVE, HOT SPRINGS, AR 71901-3406
(501) 623-3477
(501) 624-7498
Mailing address
110 PEARSON, BENTON, AR 72015-4436
(501) 315-4224
(501) 778-0450
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
CERTIFIED (NO NUMBER
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
182550526
—
AR
Enumeration date
09/10/2010
Last updated
08/24/2023
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