Provider Demographics
NPI:1801456850
Name:ALIGN COUNSELING & WELLNESS
Entity type:Organization
Organization Name:ALIGN COUNSELING & WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:NATHANIEL PHELPS
Authorized Official - Last Name:SPURGERS
Authorized Official - Suffix:
Authorized Official - Credentials:MS, LPC, NCC, TA
Authorized Official - Phone:501-208-8062
Mailing Address - Street 1:523 LOCUST AVE
Mailing Address - Street 2:
Mailing Address - City:CONWAY
Mailing Address - State:AR
Mailing Address - Zip Code:72034-5324
Mailing Address - Country:US
Mailing Address - Phone:501-208-8062
Mailing Address - Fax:
Practice Address - Street 1:523 LOCUST AVE
Practice Address - Street 2:
Practice Address - City:CONWAY
Practice Address - State:AR
Practice Address - Zip Code:72034-5324
Practice Address - Country:US
Practice Address - Phone:501-208-8062
Practice Address - Fax:501-208-8062
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-20
Last Update Date:2024-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR1043661135Medicaid