Provider Demographics
NPI:1760061535
Name:COUNSELING BX LLC
Entity Type:Organization
Organization Name:COUNSELING BX LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MEGAN
Authorized Official - Middle Name:K
Authorized Official - Last Name:SKINNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:501-800-7316
Mailing Address - Street 1:607 HARKRIDER ST STE 4
Mailing Address - Street 2:
Mailing Address - City:CONWAY
Mailing Address - State:AR
Mailing Address - Zip Code:72032-5692
Mailing Address - Country:US
Mailing Address - Phone:501-800-7316
Mailing Address - Fax:501-358-6067
Practice Address - Street 1:607 HARKRIDER ST STE 4
Practice Address - Street 2:
Practice Address - City:CONWAY
Practice Address - State:AR
Practice Address - Zip Code:72032-5692
Practice Address - Country:US
Practice Address - Phone:501-800-7316
Practice Address - Fax:501-358-6067
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-07
Last Update Date:2021-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty