OrganizationActive
Counseling Associates Inc
NPI 1336709344 · Mental Health Clinic/Center (Including Community Mental Health Center) · Russellville, AR
Provider details
- NPI number
- 1336709344
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kelly Bunch, Credentialing Supervisor(479) 725-5115
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
1404 E 16th St
Russellville, AR 72802-2648
Phone: (479) 967-2024
Approximate (ZIP-level) locationGet directions
Mailing address
110 Skyline Dr
Russellville, AR 72801-3362
Registry dates
- Enumerated
- 2019-06-20
- Last updated
- 2023-05-04
- Certified
- 2023-05-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.