Healthcare Provider Details

I. General information

NPI: 1962074971
Provider Name (Legal Business Name): AEH COUNSELING, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/11/2021
Last Update Date: 08/28/2021
Certification Date: 08/28/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

103 W 2ND ST
SWIFTON AR
72471-9135
US

IV. Provider business mailing address

103 W 2ND ST
SWIFTON AR
72471-9135
US

V. Phone/Fax

Practice location:
  • Phone: 870-624-0929
  • Fax:
Mailing address:
  • Phone: 870-624-0929
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: SARAH HOWARD
Title or Position: LICENSED PROFESSIONAL COUNSELOR
Credential: LPC
Phone: 870-624-0929