NPI Code Detail JSON Logo

1649501461 NPI number — WESTERN ARKANSAS COUNSELING & GUIDANCE CENTER, INC.-31ST STREET CLINIC

NPI Number: 1649501461
Health Care Provider/Practitioner: WESTERN ARKANSAS COUNSELING & GUIDANCE CENTER, INC.-31ST STREET CLINIC

Information about “1649501461” NPI (WESTERN ARKANSAS COUNSELING & GUIDANCE CENTER, INC.-31ST STREET CLINIC) exists in 1649501461 in HTML format HTML  |  1649501461 in plain Text format TXT  |  1649501461 in PDF (Portable Document Format) PDF  |  1649501461 in an XML format XML  formats.

NPI Number : 1649501461 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1649501461",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "Y",
    "ParentOrgLBN": "WESTERN ARKANSAS COUNSELING & GUIDANCE CENTER, INC.",
    "ParentOrgTIN": null,
    "OrgName": "WESTERN ARKANSAS COUNSELING & GUIDANCE CENTER, INC.-31ST STREET CLINIC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 11818",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "FORT SMITH",
    "MailingAddressStateName": "AR",
    "MailingAddressPostalCode": "72917-1818",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "479-452-6650",
    "MailingAddressFaxNumber": "479-785-9495",
    "FirstLinePracticeLocationAddress": "2100 N 31ST ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "FORT SMITH",
    "PracticeLocationAddressStateName": "AR",
    "PracticeLocationAddressPostalCode": "72904-6140",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "479-452-6650",
    "PracticeLocationAddressFaxNumber": "479-785-9495",
    "EnumerationDate": "01/18/2010",
    "LastUpdateDate": "10/03/2011",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "WEST",
    "AuthorizedOfficialFirstName": "JIM",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "CEO",
    "AuthorizedOfficialNamePrefix": "MR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "LCSW",
    "AuthorizedOfficialTelephoneNumber": "479-452-6650",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "251S00000X",
        "TaxonomyName": "Community/Behavioral Health Agency",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.