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Organization

FAIR WAY COUNSELING, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. KATHERINE WOODWORTH LPC, CRC (CEO)
(800) 709-0309
Entity
Organization

Contact information

Practice address
518 S EAST ST, BENTON, AR 72015-4318
(501) 438-0807
(866) 545-5491
Mailing address
518 S EAST ST, BENTON, AR 72015-4318
(501) 438-0807
(866) 545-5491

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
2016-057
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1124461942
NPI
01
1336259316
NPI
Enumeration date
04/29/2017
Last updated
06/27/2024
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