| Tciy Counseling, Inc. | |
|
1001 Se 28th St Ste 3 Bentonville AR 72712-3206 | |
| (479) 295-3325 | |
| (888) 630-4808 |
| Full Name | Tciy Counseling, Inc. |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1001 Se 28th St Ste 3, Bentonville, Arkansas |
| Authorized Official Name and Position | Carla J Jones (CLINICAL DIRECTOR) |
| Authorized Official Contact | 6202359768 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tciy Counseling, Inc. 1001 Se 28th St Ste 3 Bentonville AR 72712-3206 Ph: (479) 295-3325 | Tciy Counseling, Inc. 1001 Se 28th St Ste 3 Bentonville AR 72712-3206 Ph: (479) 295-3325 |
| NPI Number | 1114693744 |
|---|---|
| Provider Enumeration Date | 08/23/2021 |
| Last Update Date | 08/23/2021 |
| Certification Date | 08/23/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114693744 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
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