Provider Demographics
NPI:1013156751
Name:IDEAS EMERGE COUNSELING AND CONSULTING, PLLC
Entity Type:Organization
Organization Name:IDEAS EMERGE COUNSELING AND CONSULTING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST/CEO
Authorized Official - Prefix:
Authorized Official - First Name:QUANINIKA
Authorized Official - Middle Name:
Authorized Official - Last Name:WASHINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:MS/LADAC/CCDP-D/MFTC
Authorized Official - Phone:870-489-7002
Mailing Address - Street 1:2901 S HEMLOCK ST
Mailing Address - Street 2:
Mailing Address - City:PINE BLUFF
Mailing Address - State:AR
Mailing Address - Zip Code:71603-4783
Mailing Address - Country:US
Mailing Address - Phone:870-489-7002
Mailing Address - Fax:
Practice Address - Street 1:2901 S HEMLOCK ST
Practice Address - Street 2:
Practice Address - City:PINE BLUFF
Practice Address - State:AR
Practice Address - Zip Code:71603-4783
Practice Address - Country:US
Practice Address - Phone:870-489-7002
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-19
Last Update Date:2013-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health