Whalio Doctors

NPI 1578929626

Kenneth Carswell, LLC

Organisation Military Health Care Provider Pine Bluff, AR

Practice location

Address
6120 Whiteaker Rd, Pine Bluff, AR 71603-8076
Phone
(870) 718-6007

Authorised official

Name
Kenneth Carswell
Title
Ceo
Phone
(870) 718-6007

Registered specialties (6)

Military Health Care Provider Primary
Other Service Providers Taxonomy 171000000X Licence IMH 13452 (FL)
Counselor
Behavioral Health & Social Service Providers Taxonomy 101Y00000X
Addiction (Substance Use Disorder) Counselor
Behavioral Health & Social Service Providers Taxonomy 101YA0400X
Mental Health Counselor
Behavioral Health & Social Service Providers Taxonomy 101YM0800X
Pastoral Counselor
Behavioral Health & Social Service Providers Taxonomy 101YP1600X
Professional Counselor
Behavioral Health & Social Service Providers Taxonomy 101YP2500X

Registry record

NPI
1578929626
Entity type
Organization
NPI issued
5 Jan 2016
Record last updated
5 Jan 2016

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.