Provider Demographics
NPI:1346416922
Name:COUNSELING CONSULTANTS
Entity Type:Organization
Organization Name:COUNSELING CONSULTANTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JEANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:BOSCHERT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:870-739-5852
Mailing Address - Street 1:210 MANOR ST
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:AR
Mailing Address - Zip Code:72364-1936
Mailing Address - Country:US
Mailing Address - Phone:870-739-6818
Mailing Address - Fax:870-739-1970
Practice Address - Street 1:230 PINE ST
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:AR
Practice Address - Zip Code:72364-1958
Practice Address - Country:US
Practice Address - Phone:870-739-8512
Practice Address - Fax:870-739-9791
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-05
Last Update Date:2008-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR5C359Medicare PIN