Blaqk Box

LBN: Black Box Counseling And Therapeutic Services
Blaqk Box is an health care organization with primary practice located at 1000 S Caraway Rd Ste 103 , Jonesboro AR 72401-4465. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Black Box Counseling And Therapeutic Services can be contacted via phone (870) 530-5739, or through Wheller, Ruth via phone (870) 530-5739.

Contact Information

Primary practice address
1000 S Caraway Rd Ste 103 Jonesboro AR 72401-4465
Phone: (870) 530-5739
Fax: (844) 908-2206
Website:
Map and Directions
Authorized official contact:
Name: Wheller, Ruth EDS, LPC
Phone: (870) 530-5739

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1578181236
LBN Legal business name Black Box Counseling And Therapeutic Services
DBA Doing business as Blaqk Box
Authorized official Wheller, Ruth EDS, LPC
Entity Organization
Organization subpart 1 No
Enumeration date Jul 9th, 2020
Last updated Sep 14th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578181236 NPPES
Arkansas MEDICAID 1922443993

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