NPI 1265382113 · live from the CMS NPI Registry
Breakthrough Counseling And Assessment Services, LLC
Psychologist, Clinical in Conway, AR. National Provider Identifier 1265382113, active.
NPI record
| NPI | 1265382113 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Psychologist, Clinical 103TC0700X |
| Practice location | 1023 Main St Ste 201a, Conway, AR 72032 |
| Practice phone | 501-339-4315 |
| Enumerated | January 30, 2026 |
| Last updated | January 30, 2026 |
| Authorized official | Sherese Hicks, Psychologist |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist, Clinical primary | 103TC0700X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.