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
Fax: (479) 785-9495
Website:
Authorized official contact:
Name: West, Jim Licensed Clinical Social Worker (LCSW)

Health care specialties

SpecialtyCodeLicense #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 13 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 1649501461 NPPES
Arkansas MEDICAID 181576526

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