Provider Demographics
NPI:1467182923
Name:NORTHWEST ARKANSAS PSYCHOTHERAPY, PLLC
Entity Type:Organization
Organization Name:NORTHWEST ARKANSAS PSYCHOTHERAPY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:
Authorized Official - Last Name:DUNCAN
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:501-613-7396
Mailing Address - Street 1:PO BOX 184
Mailing Address - Street 2:
Mailing Address - City:ROGERS
Mailing Address - State:AR
Mailing Address - Zip Code:72757-0184
Mailing Address - Country:US
Mailing Address - Phone:501-613-7396
Mailing Address - Fax:
Practice Address - Street 1:904 LAKEVIEW DR
Practice Address - Street 2:
Practice Address - City:ROGERS
Practice Address - State:AR
Practice Address - Zip Code:72756-3010
Practice Address - Country:US
Practice Address - Phone:501-613-7396
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-15
Last Update Date:2022-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health