| 4 Flames Counseling Center Llc | |
|
2411 Kersey Rd Ste 2 Branch AR 72928-7011 | |
| (641) 895-2971 | |
| Not Available |
| Full Name | 4 Flames Counseling Center Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2411 Kersey Rd Ste 2, Branch, Arkansas |
| Authorized Official Name and Position | Jessie Daryn Lassabe (INCORPORATOR/ORGANIZER) |
| Authorized Official Contact | 6418952971 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 4 Flames Counseling Center Llc 2411 Kersey Rd Branch AR 72928-7011 Ph: (641) 895-2971 | 4 Flames Counseling Center Llc 2411 Kersey Rd Ste 2 Branch AR 72928-7011 Ph: (641) 895-2971 |
| NPI Number | 1215800255 |
|---|---|
| Provider Enumeration Date | 09/25/2025 |
| Last Update Date | 09/25/2025 |
| Certification Date | 09/25/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215800255 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |