MEDICARE: DAISY COUNSELING AND CONSULTING, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1972480416
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DAISY COUNSELING AND CONSULTING, LLC

Provider Business Mailing Address
First Line	:	3740 ROGERS AVE
Second Line	:
City	:	FORT SMITH
State	:	AR
Zip	:	72903-2984
Country	:	US
Telephone Number	:	870-267-2481
Fax Number	:

Provider Business Practice Location Address
First Line	:	3740 ROGERS AVE
Second Line	:
City	:	FORT SMITH
State	:	AR
Zip	:	72903-2984
Country	:	US
Telephone Number	:	870-267-2481
Fax Number	:	833-427-1422

Authorized Official
Title or Position	:	MENTAL HEALTH PROFESSIONAL
Name	:	MRS. HEATHER OLSON
Credential	:	LPC-S
Telephone Number	:	870-264-2481

Provider Enumeration Date	:	08/18/2025
Last Update Date	:	09/01/2025

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