Provider Demographics
NPI:1083222756
Name:PROSPER COUNSELING & CONSULTING SERVICES, PLLC
Entity Type:Organization
Organization Name:PROSPER COUNSELING & CONSULTING SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRIVATE PRACTICE
Authorized Official - Prefix:
Authorized Official - First Name:CHASITY
Authorized Official - Middle Name:R
Authorized Official - Last Name:JILES
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW, LADAC, ADC
Authorized Official - Phone:501-258-8646
Mailing Address - Street 1:3800 HOLT ST
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72204-6739
Mailing Address - Country:US
Mailing Address - Phone:501-258-8646
Mailing Address - Fax:
Practice Address - Street 1:8 SHACKLEFORD PLZ STE 316
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72211-1852
Practice Address - Country:US
Practice Address - Phone:501-222-7330
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-20
Last Update Date:2020-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty