Provider Demographics
NPI:1982472239
Name:ABSHERE COUNSELING LLC
Entity Type:Organization
Organization Name:ABSHERE COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KATRINA
Authorized Official - Middle Name:
Authorized Official - Last Name:ABSHERE
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:479-629-5488
Mailing Address - Street 1:3945 SUN VALLEY EST
Mailing Address - Street 2:
Mailing Address - City:VAN BUREN
Mailing Address - State:AR
Mailing Address - Zip Code:72956-8893
Mailing Address - Country:US
Mailing Address - Phone:479-629-5488
Mailing Address - Fax:
Practice Address - Street 1:3220 N HIGHWAY 59
Practice Address - Street 2:
Practice Address - City:VAN BUREN
Practice Address - State:AR
Practice Address - Zip Code:72956-8024
Practice Address - Country:US
Practice Address - Phone:479-262-2440
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-15
Last Update Date:2023-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty