Derrickson Wellness Counseling

LBN: Derrickson Wellness Counseling
Derrickson Wellness Counseling is an health care organization with primary practice located at 514 W Main St , Heber Springs AR 72543-3019. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as the primary health care specialty. Derrickson Wellness Counseling can be contacted via phone (501) 691-4691, or through Derrickson, Jessica via phone (501) 691-4691.

Contact Information

Primary practice address
514 W Main St Heber Springs AR 72543-3019
Phone: (501) 691-4691
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Derrickson, Jessica
Phone: (501) 691-4691

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1770230872
LBN Legal business name Derrickson Wellness Counseling
DBA Doing business as
Authorized official Derrickson, Jessica
Entity Organization
Organization subpart 1 No
Enumeration date Mar 8th, 2022
Last updated Mar 8th, 2022 - about 2 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 1770230872 NPPES
Arkansas MEDICAID 23647719

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