Healthcare Provider Details

I. General information

NPI: 1063843316
Provider Name (Legal Business Name): HOT SPRINGS COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/11/2013
Last Update Date: 12/11/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

146 FILES RD
HOT SPRINGS AR
71913-6914
US

IV. Provider business mailing address

146 FILES RD
HOT SPRINGS AR
71913-6914
US

V. Phone/Fax

Practice location:
  • Phone: 501-545-8461
  • Fax:
Mailing address:
  • Phone: 501-545-8461
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License NumberPO808067
License Number StateAR

VIII. Authorized Official

Name: MS. NANCY D. GRANT-HORN
Title or Position: OWNER
Credential: LPC
Phone: 501-545-8461