Provider Demographics
NPI:1598490955
Name:SK & KU COUNSELING
Entity Type:Organization
Organization Name:SK & KU COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JENNA
Authorized Official - Middle Name:
Authorized Official - Last Name:ROLLANS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:479-226-8403
Mailing Address - Street 1:5401 ROGERS AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:FORT SMITH
Mailing Address - State:AR
Mailing Address - Zip Code:72903-3763
Mailing Address - Country:US
Mailing Address - Phone:479-226-8403
Mailing Address - Fax:479-250-0334
Practice Address - Street 1:5401 ROGERS AVE STE 200
Practice Address - Street 2:
Practice Address - City:FORT SMITH
Practice Address - State:AR
Practice Address - Zip Code:72903-3763
Practice Address - Country:US
Practice Address - Phone:479-226-8403
Practice Address - Fax:479-250-0334
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-20
Last Update Date:2022-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty