Provider Demographics
NPI:1578283800
Name:1 PLUS 1 COUNSELING SERVICES LLC
Entity Type:Organization
Organization Name:1 PLUS 1 COUNSELING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANGIE
Authorized Official - Middle Name:L
Authorized Official - Last Name:WATSON GRIFFIN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:318-404-4737
Mailing Address - Street 1:3700 LINE BACK DUNN ST
Mailing Address - Street 2:
Mailing Address - City:BENTON
Mailing Address - State:AR
Mailing Address - Zip Code:72015-5084
Mailing Address - Country:US
Mailing Address - Phone:318-404-4734
Mailing Address - Fax:
Practice Address - Street 1:3700 LINE BACK DUNN ST
Practice Address - Street 2:
Practice Address - City:BENTON
Practice Address - State:AR
Practice Address - Zip Code:72015-5084
Practice Address - Country:US
Practice Address - Phone:318-404-4734
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-29
Last Update Date:2022-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health