Wacgc - 31St Street Clinic
LBN: Western Arkansas Counseling & Guidance Center, Inc.-31St Street Clinic
Wacgc - 31St Street Clinic is an health care organization with primary practice located at 2100 N 31St St , Fort Smith AR 72904-6140. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty.
Western Arkansas Counseling & Guidance Center, Inc.-31St Street Clinic can be contacted via phone (479) 452-6650, or through West, Jim via phone (479) 452-6650.
Contact Information
Primary practice address
2100 N 31St St
Fort Smith AR 72904-6140
Phone: (479) 452-6650
Fax: (479) 785-9495
Website:
Authorized official contact:
Name: West, Jim Licensed Clinical Social Worker (LCSW)
Phone: (479) 452-6650
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Community/Behavioral Health | 251S00000X |
Profile Details
| NPI number | 1649501461 |
|---|---|
| LBN Legal business name | Western Arkansas Counseling & Guidance Center, Inc.-31St Street Clinic |
| DBA Doing business as | Wacgc - 31St Street Clinic |
| Authorized official | West, Jim Licensed Clinical Social Worker (LCSW) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Jan 18th, 2010 |
| Last updated | Oct 3rd, 2011 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649501461 | NPPES |
| Arkansas | MEDICAID | 181576526 |
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