NPI 1730617705 · live from the CMS NPI Registry
Balanced Space Counseling Services, PLLC
Social Worker, Clinical in Little Rock, AR. National Provider Identifier 1730617705, active.
NPI record
| NPI | 1730617705 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 2723 Foxcroft Rd Ste 202e, Little Rock, AR 72227 |
| Practice phone | 501-612-7877 |
| Mailing address | 6 Emerald Ct, Little Rock, AR 72212 |
| Enumerated | June 2, 2017 |
| Last updated | June 2, 2017 |
| Authorized official | Michael Rogers, Chief Officer |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical primary | 1041C0700X | 6653-C (AR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.