Gordon Counseling Services LLC
Clinic/Center, Mental Health (Including Community Mental Health Center) in Mountain Home, AR. Organization (NPI-2).
NPI number1881138733
StatusActive
Last updated in NPPESMay 10, 2023
Details
- NPI
- 1881138733
- Entity type
- Organization (NPI-2)
- Legal business name
- Gordon Counseling Services LLC
- Organization subpart
- No
- Enumeration date
- Dec 12, 2016
- Certification date
- May 10, 2023
- Last updated
- May 10, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
| 251S00000X | Community/Behavioral Health | P1505049 | AR | |
| 261QM0850X | Clinic/Center, Adult Mental Health | – | – | |
| 261QM0855X | Clinic/Center, Adolescent and Children Mental Health | – | – |
Other names
- Odyssey Counseling (Doing Business As)
- Lighthouse Counseling Of The Ozarks (Doing Business As)
Practice location
15 E 5th StMountain Home, AR 72653-3809
Phone 870-425-2030
Mailing address
Po Box 2563Mountain Home, AR 72654-2563
Phone 714-469-4601
Authorized official
Christopher Gordon
Owner/Professional Counselor
7144694601
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