Healthcare Provider Details

I. General information

NPI: 1366360240
Provider Name (Legal Business Name): CLINGAN COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2026
Last Update Date: 07/08/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3901 ROGERS AVE STE C
FORT SMITH AR
72903-3077
US

IV. Provider business mailing address

5918 SKYVIEW CIRCLE EAST
VAN BUREN AR
72956
US

V. Phone/Fax

Practice location:
  • Phone: 479-259-1620
  • Fax:
Mailing address:
  • Phone: 479-259-1620
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: CALEB CLINGAN
Title or Position: LICENSED PROFESSIONAL COUNSELOR
Credential: LPC
Phone: 501-339-6913