Healthcare Provider Details

I. General information

NPI: 1508938945
Provider Name (Legal Business Name): WOODS AND ASSOCIATES COUNSELING CLINIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/14/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 HARRISON ST SUITE 107
BATESVILLE AR
72501-6916
US

IV. Provider business mailing address

400 HARRISON ST SUITE 107
BATESVILLE AR
72501-6916
US

V. Phone/Fax

Practice location:
  • Phone: 870-793-6774
  • Fax: 870-793-1997
Mailing address:
  • Phone: 870-793-6774
  • Fax: 870-793-1997

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateAR
# 3
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number StateAR
# 4
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number StateAR
# 5
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number StateAR

VIII. Authorized Official

Name: MR. JAMES N. WOODS
Title or Position: CLINICAL DIRECTOR
Credential: LPC
Phone: 870-793-6774