Healthcare Provider Details
I. General information
NPI: 1841644986
Provider Name (Legal Business Name): SAUNDRA SCHULTZ COUNSELING AND CONSULTING, INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/14/2016
Last Update Date: 04/14/2016
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
308 BUTTERFIELD ST
HOT SPRINGS AR
71901-4638
US
IV. Provider business mailing address
2012 LAUREL RD
BISMARCK AR
71929-6958
US
V. Phone/Fax
- Phone: 501-525-0340
- Fax:
- Phone: 501-844-6058
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251S00000X |
| Taxonomy | Community/Behavioral Health Agency |
| License Number | P0902014 |
| License Number State | AR |
VIII. Authorized Official
Name:
SAUNDRA
SCHULTZ
Title or Position: PRESIDENT
Credential: LPC
Phone: 501-844-6058