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Organization

COUNSELING SERVICES OF EASTERN ARKANSAS

Active
Parent organization
COUNSELING SERVICES OF EASTERN ARKANSAS
Organization subpart
Yes

Provider details

NPI number
Legal business name
COUNSELING SERVICES OF EASTERN ARKANSAS
Authorized official
DONNIE LYERLY (PROVIDER CREDENTIALING)
(870) 972-4939
Entity
Organization

Contact information

Practice address
905 N 7TH ST, WEST MEMPHIS, AR 72301-2001
(870) 735-5118
(870) 972-4911
Mailing address
2707 BROWNS LN, JONESBORO, AR 72401-7213
(870) 972-4939
(870) 972-4911

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
251S00000X
Community/Behavioral Health Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
172078526
AR
Enumeration date
10/03/2008
Last updated
12/12/2012
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