Provider Demographics
NPI:1063029460
Name:ONWARD AND UPWARD COUNSELING, PLLC
Entity Type:Organization
Organization Name:ONWARD AND UPWARD COUNSELING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:SAMANTHA
Authorized Official - Middle Name:JO
Authorized Official - Last Name:SPILLMAN
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:870-464-0096
Mailing Address - Street 1:100 N ROCKINGCHAIR RD STE 8
Mailing Address - Street 2:
Mailing Address - City:PARAGOULD
Mailing Address - State:AR
Mailing Address - Zip Code:72450-2475
Mailing Address - Country:US
Mailing Address - Phone:870-464-0096
Mailing Address - Fax:870-201-9195
Practice Address - Street 1:100 N ROCKINGCHAIR RD STE 8
Practice Address - Street 2:
Practice Address - City:PARAGOULD
Practice Address - State:AR
Practice Address - Zip Code:72450-2475
Practice Address - Country:US
Practice Address - Phone:870-464-0096
Practice Address - Fax:870-201-9195
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-29
Last Update Date:2022-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR5LL26OtherAR BLUE CROSS & BLUE SHIELD