Healthcare Provider Details

I. General information

NPI: 1982290763
Provider Name (Legal Business Name): HEAL WITHIN COUNSELING AND CONSULTING INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/16/2020
Last Update Date: 10/31/2022
Certification Date: 10/31/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8 S BROADVIEW ST STE E&F
GREENBRIER AR
72058-9601
US

IV. Provider business mailing address

PO BOX 414
GREENBRIER AR
72058-0414
US

V. Phone/Fax

Practice location:
  • Phone: 501-679-0232
  • Fax: 833-373-0348
Mailing address:
  • Phone: 501-733-4593
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: KATELYN CONEY
Title or Position: OWNER
Credential:
Phone: 501-733-4593