Provider Demographics
NPI:1275181216
Name:NC COUNSELING SERVICES, PLLC
Entity Type:Organization
Organization Name:NC COUNSELING SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:CASIE
Authorized Official - Middle Name:M
Authorized Official - Last Name:HAGANS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:870-926-2949
Mailing Address - Street 1:241 COUNTY ROAD 130
Mailing Address - Street 2:
Mailing Address - City:BONO
Mailing Address - State:AR
Mailing Address - Zip Code:72416-8283
Mailing Address - Country:US
Mailing Address - Phone:870-926-2949
Mailing Address - Fax:844-232-7847
Practice Address - Street 1:1150 E MATTHEWS AVE STE 203
Practice Address - Street 2:
Practice Address - City:JONESBORO
Practice Address - State:AR
Practice Address - Zip Code:72401-4345
Practice Address - Country:US
Practice Address - Phone:870-926-2949
Practice Address - Fax:844-232-7847
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-03
Last Update Date:2022-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty