| Integrative Counseling Center Llc | |
|
10515 W Markham St Ste D3 Little Rock AR 72205 | |
| (501) 416-4356 | |
| (501) 725-8952 |
| Full Name | Integrative Counseling Center Llc |
|---|---|
| Speciality | Counselor |
| Location | 10515 W Markham St Ste D3, Little Rock, Arkansas |
| Authorized Official Name and Position | Candace Carter (PARTNER) |
| Authorized Official Contact | 5014164356 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrative Counseling Center Llc 10515 W Markham St Ste D3 Little Rock AR 72205-2290 Ph: (501) 416-4356 | Integrative Counseling Center Llc 10515 W Markham St Ste D3 Little Rock AR 72205 Ph: (501) 416-4356 |
| NPI Number | 1497210199 |
|---|---|
| Provider Enumeration Date | 02/06/2019 |
| Last Update Date | 06/11/2019 |
| Medicare PECOS PAC ID | 5597293316 |
|---|---|
| Medicare Enrollment ID | O20250107004194 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497210199 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Candace Carter |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1912298811 PECOS PAC ID: 6406384221 Enrollment ID: I20250107004208 |
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