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NPI 1972872133 · live from the CMS NPI Registry

Central Arkansas Counseling

Psychologist in Cabot, AR. National Provider Identifier 1972872133, active.

NPI record

NPI1972872133 Type 2 · organization
StatusActive
Primary specialtyPsychologist 103T00000X
Practice location1 City Plz Ste E, Cabot, AR 72023
Practice phone501-843-7795
Mailing addressPo Box 1425, Cabot, AR 72023
EnumeratedDecember 16, 2011
Last updatedDecember 16, 2011
Authorized officialMary Wilson, Owner

Taxonomies and licenses

TaxonomyCodeLicense
Counselor101Y00000X—
Counselor, Addiction (Substance Use Disorder)101YA0400X—
Psychologist, Addiction (Substance Use Disorder)103TA0400X—
Psychologist, Adult Development & Aging103TA0700X—
Psychologist, Cognitive & Behavioral103TB0200X—
Psychologist, Clinical103TC0700X—
Psychologist, Counseling103TC1900X—
Psychologist, Clinical Child & Adolescent103TC2200X—
Psychologist, Family103TF0000X—
Psychologist, Intellectual & Developmental Disabilities103TM1800X—
Psychologist, Psychoanalysis103TP0814X—
Psychologist, Group Psychotherapy103TP2701X—
Psychologist, Rehabilitation103TR0400X—
Psychologist, School103TS0200X—
Psychologist primary103T00000X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.