Provider Demographics
NPI:1336508316
Name:CHRISTIAN PERSPECTIVE COUNSELING, INC.
Entity Type:Organization
Organization Name:CHRISTIAN PERSPECTIVE COUNSELING, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, THERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:JON
Authorized Official - Middle Name:
Authorized Official - Last Name:PRIEST
Authorized Official - Suffix:
Authorized Official - Credentials:LPE-I
Authorized Official - Phone:501-450-6350
Mailing Address - Street 1:PO BOX 344
Mailing Address - Street 2:
Mailing Address - City:CONWAY
Mailing Address - State:AR
Mailing Address - Zip Code:72033-0344
Mailing Address - Country:US
Mailing Address - Phone:501-450-6350
Mailing Address - Fax:501-358-4932
Practice Address - Street 1:400 SALEM RD
Practice Address - Street 2:SUITE #3
Practice Address - City:CONWAY
Practice Address - State:AR
Practice Address - Zip Code:72034-6162
Practice Address - Country:US
Practice Address - Phone:501-450-6350
Practice Address - Fax:501-358-4932
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-18
Last Update Date:2016-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARA1401010101Y00000X
AR09-19EI103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Multi-Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty