MEDICARE: WILLOW SPRINGS COUNSELING SERVICES PLLC

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
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1275175275
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WILLOW SPRINGS COUNSELING SERVICES PLLC

Provider Business Mailing Address
First Line	:	105 N FRONT ST
Second Line	:
City	:	DARDANELLE
State	:	AR
Zip	:	72834-3821
Country	:	US
Telephone Number	:	479-477-3058
Fax Number	:	479-477-4158

Provider Business Practice Location Address
First Line	:	105 N FRONT ST
Second Line	:
City	:	DARDANELLE
State	:	AR
Zip	:	72834-3821
Country	:	US
Telephone Number	:	479-355-1606
Fax Number	:	479-782-5502

Authorized Official
Title or Position	:	OWNER
Name	:	STEVIE CURSH
Credential	:
Telephone Number	:	479-477-3058

Provider Enumeration Date	:	10/10/2019
Last Update Date	:	01/21/2026

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