Organization Active NPI

Aw Therapy Service, LLC

Doing business as Sager Creek Counseling Collective

  • Clinical Social Worker
  • Siloam Springs, AR
National Provider Identifier
1023865979
Registry record updated Mar 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
AW THERAPY SERVICE, LLC
Doing business as
Sager Creek Counseling Collective
Practice address
608 S Hico St
Siloam Springs, AR 72761-3740
Phone
(870) 321-0252
NPI assigned
Apr 30, 2024
Last updated
Mar 19, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Allison Wallace, LCSWNPI 1891460044
Title
Owner
Phone
(870) 321-0252

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

608 S Hico St
Siloam Springs, AR 72761-3740

Mailing address

313 Ramsey St
Gentry, AR 72734-7019
Phone (870) 321-0252

Other names 1

  • Sager Creek Counseling Collective Doing business as

National Provider Directory

National Provider Directory

Locations

104 W Tulsa St
Siloam Springs, AR 72761
Phone (405) 335-8087

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1714435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742342400000",
    "number": "1023865979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 RAMSEY ST",
            "city": "GENTRY",
            "state": "AR",
            "postal_code": "727347019",
            "telephone_number": "870-321-0252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 S HICO ST",
            "city": "SILOAM SPRINGS",
            "state": "AR",
            "postal_code": "727613740",
            "telephone_number": "870-321-0252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AW THERAPY SERVICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-30",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "ALLISON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-321-0252",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sager Creek Counseling Collective",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sager Creek Counseling Collective",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Siloam Springs, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.