Provider Demographics
NPI:1033768734
Name:CATALYST COUNSELING, PLLC
Entity Type:Organization
Organization Name:CATALYST COUNSELING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MAUREEN
Authorized Official - Middle Name:
Authorized Official - Last Name:SKINNER
Authorized Official - Suffix:
Authorized Official - Credentials:LPE-I
Authorized Official - Phone:870-615-2816
Mailing Address - Street 1:5 RED BUD DR
Mailing Address - Street 2:
Mailing Address - City:CONWAY
Mailing Address - State:AR
Mailing Address - Zip Code:72034-6119
Mailing Address - Country:US
Mailing Address - Phone:870-615-2816
Mailing Address - Fax:501-764-4555
Practice Address - Street 1:930 WINGATE ST STE E2
Practice Address - Street 2:
Practice Address - City:CONWAY
Practice Address - State:AR
Practice Address - Zip Code:72034-4866
Practice Address - Country:US
Practice Address - Phone:501-500-4114
Practice Address - Fax:501-764-4555
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-05
Last Update Date:2020-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health