COLLABORATIVE COUNSELING ASSOCIATES, PLLC (NPI# 1922534882) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922534882 |
| Entity Type | Organization |
| Organization Name | COLLABORATIVE COUNSELING ASSOCIATES, PLLC |
| Practice Address |
11 Marble Ct Little Rock AR 72212-2116 |
| Practice Telephone | 5014422293 |
| Mailing Telephone | 5014422293 |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2017-05-11 |
| Authorized Official Name | MRS. ANDREA M FRESH (INCORPORATOR/ MANAGING MEMBER) |
| Authorized Official Telephone | 5014422293 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities | ||
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities | ||
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Street Address |
11 MARBLE CT |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72212-2116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475805 | Arkansas Health Group | Dietitian, Registered | 10915 Rodney Parham Road, Suite G, Little Rock, AR 72212 | 2020-10-20 |
| 1043788045 | Arkansas Wellness Associates LLC | Internal Medicine | 10700 N Rodney Parham Road, Suite C11, Little Rock, AR 72212 | 2018-11-07 |
| 1538663729 | Premier Gastroenterology Associates Pllc | Internal Medicine | 10915 N. Rodney Parham, Suite B, Little Rock, AR 72212 | 2018-03-21 |
| 1942749148 | Reece Lewis Crow | General Practice | 34 Windsor Road, Little Rock, AR 72212 | 2017-02-21 |
| 1174910210 | Jourdan Quinn | Nurse Practitioner | 11300 Cantrell Rd Ste 204, Little Rock, AR 72212 | 2015-04-15 |
| 1174942528 | Jacey Tanner Guthrie | Dermatology | 4200 N Rodney Parham Rd Ste 202, Little Rock, AR 72212 | 2014-04-14 |
| 1366867525 | Rustee Danielle Pruitt | Counselor | 1719 Merrill Drive, Little Rock, AR 72212 | 2014-02-25 |
| 1932520558 | Diana Johnson Pearson | Speech-Language Pathologist | 3920 Woodland Heights Rd., Little Rock, AR 72212 | 2013-12-27 |
| 1275968786 | Bill F Hefley Sr. | Allergy & Immunology | 361 Valley Club Circle, Little Rock, AR 72212 | 2013-09-04 |
| 1376987693 | Robert Carlton Power | Internal Medicine | 8 Bella View Drive, Little Rock, AR 72212 | 2013-04-18 |
| Find all providers in zip 72212 | ||||
| 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 |
|---|---|---|---|---|
| 1861997165 | Passion Unlimited, LLC | Clinic/Center | 16609 Cantrell Rd Ste 14, Little Rock, AR 72223-4828 | 2018-03-28 |
| 1952576654 | Unique Counseling Clinic Inc | Clinic/Center | 7101 W 12th St, Suite 303, Little Rock, AR 72204-2404 | 2008-04-24 |
| 1184679060 | Bhc Pinnacle Pointe Hospital | Clinic/Center | 6100 Patterson Rd, Little Rock, AR 72209-2430 | 2006-05-23 |
| 1851886352 | Little Rock Community Mental Health Center | Clinic/Center | 1100 N. University, Little Rock, AR 72205 | 2018-06-27 |
| 1124483367 | Arkansas Relationship Counseling | Clinic/Center | 4 Shackleford Plz, Ste 202, Little Rock, AR 72211-1826 | 2015-12-14 |
| 1871968693 | Deen Psychological Services LLC | Clinic/Center | 2723 Foxcroft Rd, Suite 320b, Little Rock, AR 72227-2455 | 2015-12-04 |
| 1609241454 | Rose Smith Psychology Pllc | Clinic/Center | 2723 Foxcroft Rd, Suite 311a, Little Rock, AR 72227-2455 | 2015-12-04 |
| 1851405468 | Rivendell Behavioral Health Services of Ar | Clinic/Center | 1405 N Pierce St, Suite 101, Little Rock, AR 72207-5349 | 2006-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073113650 | Secure Foundation Counseling Pllc | Clinic/Center | 125 N Fisher St, Jonesboro, AR 72401-2116 | 2020-10-31 |
| 1558979781 | Creoks Mental Health Services, Inc | Clinic/Center | 301 Industrial Road, Mountain View, AR 72560 | 2020-07-14 |
| 1487272670 | Professional Counseling Associates Inc. | Clinic/Center | 977 East Cypress Street, Devalls Bluff, AR 72041 | 2020-07-14 |
| 1740807478 | Brighter Days Counseling and Wellness LLC | Clinic/Center | 100 Commercial Park Ct Apt 108, Maumelle, AR 72113-6986 | 2020-06-29 |
| 1861015745 | Counseling Associates, Inc. | Clinic/Center | 750 Boston St, Danville, AR 72833-7006 | 2020-05-26 |
| 1821610171 | Courageous Journey Psychological Services, LLC | Clinic/Center | 168 Bluefish Ave, Russellville, AR 72802-2407 | 2020-05-09 |
| 1891317293 | Cervantes Counseling Corporation | Clinic/Center | 406 Rena Rd, Van Buren, AR 72956-6507 | 2020-05-08 |
| 1487273199 | Restoring Hope Counseling and Consultation | Clinic/Center | 310 Mid Continent Plz Ste 325, West Memphis, AR 72301-1703 | 2020-04-13 |
| 1922637859 | New Patterns Counseling, LLC | Clinic/Center | 1905 Reveille Cir, Jacksonville, AR 72076-9157 | 2020-04-02 |
| 1417585019 | Positive Place Counseling and Consulting, LLC | Clinic/Center | 807 W 6th Ave, Pine Bluff, AR 71601-4031 | 2020-03-30 |
| Find all providers with the same taxonomy | ||||
| City | LITTLE ROCK |
| Zip Code | 72212 |
Please comment or provide details below to improve the information on COLLABORATIVE COUNSELING ASSOCIATES, PLLC.
| 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.