Provider Demographics
NPI:1932706918
Name:VILLAGE COUNSELING LLC
Entity Type:Organization
Organization Name:VILLAGE COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:GAIL
Authorized Official - Middle Name:S
Authorized Official - Last Name:MAURER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:501-503-1500
Mailing Address - Street 1:PO BOX 8463
Mailing Address - Street 2:
Mailing Address - City:HOT SPRINGS VILLAGE
Mailing Address - State:AR
Mailing Address - Zip Code:71910-8463
Mailing Address - Country:US
Mailing Address - Phone:541-503-1500
Mailing Address - Fax:
Practice Address - Street 1:13 BELLEZA WAY
Practice Address - Street 2:
Practice Address - City:HOT SPRINGS VILLAGE
Practice Address - State:AR
Practice Address - Zip Code:71909-7911
Practice Address - Country:US
Practice Address - Phone:501-503-1500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-03
Last Update Date:2020-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health