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General NPI Number Information
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NPI Number | 1366715658
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Entity Type | Organization
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Legal Business Name | CLIENT FOCUSED COUNSELING
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Dates
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Enumeration Date | 02/16/2012
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Last Update Date | 02/27/2015
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Provider Practice Location Address
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Address Line | 1845 N GREEN ACRES RD
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City | FAYETTEVILLE
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State | AR
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Zip | 72703-2615
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Country | US
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Telephone | 479-313-4340
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 8665
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City | FAYETTEVILLE
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State | AR
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Zip | 72703-0011
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Country | US
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Telephone | 479-313-4340
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Fax |
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Authorized Official
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Title or Position | PSYCHOTHERAPIST/OWNER
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Name | PAUL MOORE
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Credential | M.S.
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Telephone | 479-313-4340
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | M1201002
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License Number State | AR
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | P1009062
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License Number State | AR
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