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NPI Code Detail

MEDICARE: LITTLE ROCK COUNSELING, PLC

MEDICARE: LITTLE ROCK COUNSELING, PLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional CounselorP1605061AR

General Provider Information

NPI Number : 1003353368
Entity Type Code : Organization
Provider Name (Legal Business Name) : LITTLE ROCK COUNSELING, PLC
Provider Business Mailing Address
First Line : 1225 BRECKENRIDGE DR STE 107
Second Line :
City : LITTLE ROCK
State : AR
Zip : 72205-1565
Country : US
Telephone Number : 501-303-6838
Fax Number : 501-232-1427
Provider Business Practice Location Address
First Line : 1225 BRECKENRIDGE DR STE 107
Second Line :
City : LITTLE ROCK
State : AR
Zip : 72205-1565
Country : US
Telephone Number : 501-303-6838
Fax Number : 501-232-1427
Authorized Official
Title or Position : CO-OWNER & THERAPIST
Name : WHITNEY KATHLEEN NORRIS
Credential : LPC
Telephone Number : 501-303-6838
Provider Enumeration Date : 01/25/2017
Last Update Date : 01/25/2017

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Directions to “LITTLE ROCK COUNSELING, PLC ” Practice Location

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