Organization
FAMILY COUNSELING & DIAGNOSTIC CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS HEISLER PH.D (OWNER)
18702955280
Entity
Organization
Contact information
Practice address
401 W MAIN ST, MARIANNA, AR 72360-2102
(870) 295-5280
(870) 295-5390
Mailing address
PO BOX 66, WYNNE, AR 72396-0066
(870) 295-5280
(870) 295-5390
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
14012
AR
101YP2500X
Professional Counselor
14012
AR
133N00000X
Nutritionist
Primary
14012
AR
163W00000X
Registered Nurse
14012
AR
164W00000X
Licensed Practical Nurse
14012
AR
224Z00000X
Occupational Therapy Assistant
14012
AR
225100000X
Physical Therapist
14012
AR
225200000X
Physical Therapy Assistant
14012
AR
225X00000X
Occupational Therapist
14012
AR
235Z00000X
Speech-Language Pathologist
14012
AR
Other
Enumeration date
04/11/2007
Last updated
09/11/2025
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