Provider Demographics
NPI:1619525425
Name:THE CALM CLINIC, PLC
Entity Type:Organization
Organization Name:THE CALM CLINIC, PLC
Other - Org Name:INTEGRATED COUNSELING SOLUTIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRADEN
Authorized Official - Middle Name:
Authorized Official - Last Name:DUNCAN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:479-278-4323
Mailing Address - Street 1:1202 NE MCCLAIN RD STE 141
Mailing Address - Street 2:
Mailing Address - City:BENTONVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72712-3875
Mailing Address - Country:US
Mailing Address - Phone:479-278-4323
Mailing Address - Fax:855-230-2716
Practice Address - Street 1:1202 NE MCCLAIN RD STE 141
Practice Address - Street 2:
Practice Address - City:BENTONVILLE
Practice Address - State:AR
Practice Address - Zip Code:72712-3875
Practice Address - Country:US
Practice Address - Phone:479-278-4323
Practice Address - Fax:855-230-2716
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-27
Last Update Date:2021-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty