| Counseling Centers Of Arkansas Inc | |
|
429 Pine Ridge Rd Pottsville AR 72858-8803 | |
| (479) 799-8885 | |
| Not Available |
| Full Name | Counseling Centers Of Arkansas Inc |
|---|---|
| Speciality | Counselor |
| Location | 429 Pine Ridge Rd, Pottsville, Arkansas |
| Authorized Official Name and Position | Heather Hallum (OWNER) |
| Authorized Official Contact | 4797998885 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Counseling Centers Of Arkansas Inc 429 Pine Ridge Rd Pottsville AR 72858-8803 Ph: (479) 799-8885 | Counseling Centers Of Arkansas Inc 429 Pine Ridge Rd Pottsville AR 72858-8803 Ph: (479) 799-8885 |
| NPI Number | 1053194787 |
|---|---|
| Provider Enumeration Date | 08/16/2023 |
| Last Update Date | 08/16/2023 |
| Certification Date | 08/16/2023 |
| Medicare PECOS PAC ID | 5698127041 |
|---|---|
| Medicare Enrollment ID | O20240122001504 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053194787 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Heather Hallum |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1245529817 PECOS PAC ID: 1759733447 Enrollment ID: I20240118001003 |
| Provider Name | Jessica Swartz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740652429 PECOS PAC ID: 8123470762 Enrollment ID: I20240118003118 |