| Inhope Counseling Services Company | |
|
1305 E Main St Russellville AR 72801-5322 | |
| (479) 393-9866 | |
| (479) 358-1464 |
| Full Name | Inhope Counseling Services Company |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1305 E Main St, Russellville, Arkansas |
| Authorized Official Name and Position | Karen S Gongola (DOCTOR OF PSYCHOTHERAPY) |
| Authorized Official Contact | 4793939866 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Inhope Counseling Services Company 1305 East Main Street Russellville AR 72801-5322 Ph: (479) 393-9866 | Inhope Counseling Services Company 1305 E Main St Russellville AR 72801-5322 Ph: (479) 393-9866 |
| NPI Number | 1023496262 |
|---|---|
| Provider Enumeration Date | 05/07/2015 |
| Last Update Date | 04/20/2024 |
| Certification Date | 04/20/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023496262 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | P0512076 (Arkansas) | Primary |
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