Organization · Type 2 NPI
Civilpsych, LLC
Clinic/Center · Jonesboro, AR
NPI number
1356855324
Active
Practice location
484 County Road 7593
Jonesboro, AR 72401-7764
Fax (925) 955-4744
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor | 101Y00000X | 1870-C (AR) |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1870-C (AR) |
| Mental Health Counselor | 101YM0800X | 1870-C (AR) |
| Professional Counselor | 101YP2500X | 1870-C (AR) |
| Clinic/Center Primary | 261Q00000X | 1870-C (AR) |
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | 1870-C (AR) |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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About NPI 1356855324
Civilpsych, LLC's National Provider Identifier is 1356855324, issued on Nov 28, 2017. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Jonesboro, AR. The record was last updated on Nov 28, 2017.