Provider Demographics
| NPI: | 1356093173 |
|---|---|
| Name: | S&E COUNSELING SERVICES PLLC |
| Entity type: | Organization |
| Organization Name: | S&E COUNSELING SERVICES PLLC |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | LICENSED PROFESSIONAL COUNSELOR |
| Authorized Official - Prefix: | |
| Authorized Official - First Name: | RHONDA |
| Authorized Official - Middle Name: | LASHELLE |
| Authorized Official - Last Name: | JOHNSON |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | LPC |
| Authorized Official - Phone: | 501-508-1481 |
| Mailing Address - Street 1: | 7613 VESTAL BLVD APT 10 |
| Mailing Address - Street 2: | |
| Mailing Address - City: | NORTH LITTLE ROCK |
| Mailing Address - State: | AR |
| Mailing Address - Zip Code: | 72113-7272 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 501-508-1481 |
| Mailing Address - Fax: | |
| Practice Address - Street 1: | 7613 VESTAL BLVD APT 10 |
| Practice Address - Street 2: | |
| Practice Address - City: | NORTH LITTLE ROCK |
| Practice Address - State: | AR |
| Practice Address - Zip Code: | 72113-7272 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 501-508-1481 |
| Practice Address - Fax: | |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2022-01-23 |
| Last Update Date: | 2022-09-03 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 101YM0800X | Behavioral Health & Social Service Providers | Counselor | Mental Health | Group - Single Specialty |