| Integrated Counseling Solutions | |
|
1202 Ne Mcclain Rd Ste 141 Bentonville AR 72712-3875 | |
| (479) 278-4323 | |
| (855) 230-2716 |
| Full Name | Integrated Counseling Solutions |
|---|---|
| Speciality | Social Worker |
| Location | 1202 Ne Mcclain Rd Ste 141, Bentonville, Arkansas |
| Authorized Official Name and Position | Braden Duncan (OWNER) |
| Authorized Official Contact | 4792784323 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrated Counseling Solutions 1202 Ne Mcclain Rd Ste 141 Bentonville AR 72712-3875 Ph: (479) 278-4323 | Integrated Counseling Solutions 1202 Ne Mcclain Rd Ste 141 Bentonville AR 72712-3875 Ph: (479) 278-4323 |
| NPI Number | 1619525425 |
|---|---|
| Provider Enumeration Date | 08/27/2019 |
| Last Update Date | 07/30/2021 |
| Certification Date | 07/30/2021 |
| Medicare PECOS PAC ID | 7618207333 |
|---|---|
| Medicare Enrollment ID | O20190924000554 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619525425 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Braden Duncan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427480011 PECOS PAC ID: 9436489150 Enrollment ID: I20190924000722 |
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