NPI 1366715658

Client Focused Counseling

Organisation Community/Behavioral Health Agency Fayetteville, AR

Practice location

Address: 1845 N Green Acres Rd, Fayetteville, AR 72703-2615
Phone: (479) 313-4340
Mailing address: PO Box 8665, Fayetteville, AR 72703-0011

Authorised official

Name: Paul Moore
Title: Psychotherapist/Owner
Phone: (479) 313-4340

Registered specialties (2)

Community/Behavioral Health Agency Primary

Agencies Taxonomy 251S00000X Licence P1009062 (AR)

Other Community/Behavioral Health providers in Arkansas →

Community/Behavioral Health Agency

Agencies Taxonomy 251S00000X Licence M1201002 (AR)

Registry record

NPI: 1366715658
Entity type: Organization
NPI issued: 16 Feb 2012
Record last updated: 27 Feb 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.