Provider Demographics
NPI:1720719495
Name:CARSTEN COUNSELING SERVICES PLLC
Entity Type:Organization
Organization Name:CARSTEN COUNSELING SERVICES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:AMBER
Authorized Official - Middle Name:D
Authorized Official - Last Name:CARSTEN
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:479-366-1720
Mailing Address - Street 1:1216 BRADLEY ST
Mailing Address - Street 2:
Mailing Address - City:CENTERTON
Mailing Address - State:AR
Mailing Address - Zip Code:72719-8008
Mailing Address - Country:US
Mailing Address - Phone:479-366-1720
Mailing Address - Fax:
Practice Address - Street 1:392 E SUNBRIDGE DR
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:AR
Practice Address - Zip Code:72703-1868
Practice Address - Country:US
Practice Address - Phone:479-366-1720
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-22
Last Update Date:2022-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)