Organization · NPI-2

Paragould Counseling LLC

Clinic/Center, Mental Health (Including Community Mental Health Center) · Paragould, AR

NPI number1366190886
StatusActive
Last updated in NPPESMar 14, 2022

Details

NPI
1366190886
Entity type
Organization (NPI-2)
Legal business name
Paragould Counseling LLC
Organization subpart
No
Enumeration date
Mar 14, 2022
Certification date
Mar 14, 2022
Last updated
Mar 14, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––Yes

Practice location

7978 Highway 412 W
Paragould, AR 72450-8014

Phone 870-240-6262 · Fax 870-617-0977

Mailing address

7978 Highway 412 W
Paragould, AR 72450-8014

Phone 870-240-6262 · Fax 870-617-0977

Authorized official

Tiffany Leigh Felty
Ceo
8702406262

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