Organization · Type 2 NPI

Moonbrook Mind & Body Integrative Services Incorporated

Clinical Social Worker · Texarkana, AR

NPI number 1376173401 Active

Practice location

421 Pecan St
Texarkana, AR 71854-5333

Fax (844) 706-5741

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500XNone listed
Clinical Social Worker Primary 1041C0700XNone listed

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1376173401

Moonbrook Mind & Body Integrative Services Incorporated's National Provider Identifier is 1376173401, issued on Jan 16, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Texarkana, AR. The record was last updated on Jan 20, 2026.