Healthcare Provider Details

I. General information

NPI: 1932706918
Provider Name (Legal Business Name): VILLAGE COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/03/2020
Last Update Date: 10/03/2020
Certification Date: 10/03/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13 BELLEZA WAY
HOT SPRINGS VILLAGE AR
71909-7911
US

IV. Provider business mailing address

PO BOX 8463
HOT SPRINGS VILLAGE AR
71910-8463
US

V. Phone/Fax

Practice location:
  • Phone: 501-503-1500
  • Fax:
Mailing address:
  • Phone: 541-503-1500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. GAIL S MAURER
Title or Position: MANAGER
Credential: PHD
Phone: 501-503-1500