COUNSELING AND ASSESSMENT CLINIC PLLC (NPI# 1669887808) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669887808 |
| Entity Type | Organization |
| Organization Name | COUNSELING AND ASSESSMENT CLINIC PLLC |
| Practice Address |
306 Salem Rd Ste 109 Conway AR 72034-6376 |
| Practice Telephone | 5014287290 |
| Mailing Telephone | 5014287290 |
| Enumeration Date | 2014-06-26 |
| Last Update Date | 2014-06-26 |
| Authorized Official Name | MR. DAVID A RUBLE (OWNER) |
| Authorized Official Telephone | 5014287290 |
| Authorized Official Credential | LPE-I |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
AR | Ambulatory Health Care Facilities |
| Street Address |
306 SALEM RD STE 109 |
| City | CONWAY |
| State | AR |
| Zip Code | 72034-6376 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013563758 | Shelby M Perez | Case Manager/Care Coordinator | 3240 Stermer Rd, Conway, AR 72034 | 2019-08-16 |
| 1467932772 | Faith J Parfait | Licensed Practical Nurse | 1352 Watkins St, Conway, AR 72034 | 2018-08-16 |
| 1043790611 | David Adam Steinfeld | Nurse Practitioner | 855 S German Ln Ste 1, Conway, AR 72034 | 2018-08-14 |
| 1245728484 | Conway Behavioral Health, LLC | Psychiatry & Neurology | 2255 Sturgis Rd, Conway, AR 72034 | 2018-04-24 |
| 1972007292 | Eldercare of Arkansas IIi, Inc. | Assisted Living Facility | 1306 S. Donaghey, Conway, AR 72034 | 2018-03-21 |
| 1528561404 | Kouhei Kobayashi | Specialist/Technologist | 2201 Moix Blvd., Apt. 908, Conway, AR 72034 | 2018-03-16 |
| 1780191015 | Sydnie Thessing | Nurse Practitioner | 605 Dave Ward Drive #105, Conway, AR 72034 | 2018-01-09 |
| 1508371865 | Ebony Latreace Charleston | Case Manager/Care Coordinator | 3240 Stermer Road, Conway, AR 72034 | 2017-12-08 |
| 1689190647 | Denise Annette Aikman | Dentist | 1210 Hogan Lane, Suite 200, Conway, AR 72034 | 2017-08-21 |
| 1134669138 | Hortons Orthotic Lab, Inc. | Prosthetic/Orthotic Supplier | 635 Dave Ward, Suite 103, Conway, AR 72034 | 2017-02-24 |
| Find all providers in zip 72034 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427679919 | All Are Welcome Counseling | Clinic/Center | 2669 Pecan Ln, Conway, SC 29526-6610 | 2020-05-06 |
| 1619501657 | Bhg L, LLC | Clinic/Center | 1058 Front St Ste 104, Conway, AR 72032-4337 | 2020-02-28 |
| 1447884705 | Jennie Cassidy Psychologist LLC | Clinic/Center | 1511 9th Ave Ste C, Conway, SC 29526-4126 | 2020-02-26 |
| 1528508108 | Conway Behavioral Health, LLC | Clinic/Center | 2255 Sturgis Road, Conway, AR 72034-8334 | 2017-03-02 |
| 1417109703 | Counseling Associates, Inc | Clinic/Center | 855 S Salem Rd, Conway, AR 72034-8365 | 2008-10-17 |
| 1326290610 | Counseling Associates, Inc | Clinic/Center | 1701 Donaghey Ave, Conway, AR 72032-2511 | 2008-10-17 |
| 1811502271 | Aich Counseling, LLC | Clinic/Center | 915 Oak St Ste 103, Conway, AR 72032-4389 | 2020-09-12 |
| 1093362881 | Waccamaw Center for Mental Health | Clinic/Center | 164 Waccamaw Medical Park Dr, Conway, SC 29526-8903 | 2019-08-26 |
| 1548704521 | Because You Matter Counseling Pllc | Clinic/Center | 21 Macarthur Dr, Conway, AR 72032-4510 | 2016-12-11 |
| 1730402249 | Conway Regional Medical Center, Inc | Clinic/Center | 495 Hogan Ln Ste 2, Conway, AR 72034-8498 | 2010-03-11 |
| Find all providers in CONWAY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.