Healthcare Provider Details

I. General information

NPI: 1164503579
Provider Name (Legal Business Name): MONSON COUNSELING PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/18/2006
Last Update Date: 08/26/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6801 ISAACS ORCHARD RD
SPRINGDALE AR
72762-6545
US

IV. Provider business mailing address

PO BOX 8654
FAYETTEVILLE AR
72703-0011
US

V. Phone/Fax

Practice location:
  • Phone: 479-426-5110
  • Fax:
Mailing address:
  • Phone: 479-426-5110
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: SUSAN DIANNE MONSON
Title or Position: PRESIDENT
Credential: M.ED, LPC, HYPNO.
Phone: 479-426-5110