Texarkana Counseling Services, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

P1506059 Issued in AR

Legal business name

TEXARKANA COUNSELING SERVICES, LLC

Practice address

2118 N State Line Ave
Texarkana, AR 71854-3583

Phone

(870) 648-0290

Fax

(870) 774-1334

NPI assigned

Feb 8, 2018

Last updated

Jul 12, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Malissa HymanNPI 1346597531

Title

Owner/Counselor

Phone

(870) 774-1333

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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.

• Malissa Dawn Hyman

  • Mental Health Counselor
  • Texarkana, AR
  • NPI 1346597531
  NPD Authorized official
• Stacy Michelle Humphrey, LPC

  • Professional Counselor
  • Texarkana, TX
  • NPI 1487810396
  NPD (past)

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

{
    "created_epoch": "1518048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689120000000",
    "number": "1073012712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2118 N STATE LINE AVE",
            "city": "TEXARKANA",
            "state": "AR",
            "postal_code": "718543583",
            "telephone_number": "870-774-1333",
            "fax_number": "870-774-1334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2118 N STATE LINE AVE",
            "city": "TEXARKANA",
            "state": "AR",
            "postal_code": "718543583",
            "telephone_number": "870-648-0290",
            "fax_number": "870-774-1334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXARKANA COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-08",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A",
        "authorized_official_last_name": "HYMAN",
        "authorized_official_first_name": "MALISSA",
        "authorized_official_title_or_position": "OWNER/COUNSELOR",
        "authorized_official_telephone_number": "870-774-1333"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "P1506059",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERCIAL INSURANCE",
            "identifier": "1346597531",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Texarkana Arkansas School District
• Texarkana Arkansas School District
• Texarkana Behavioral Associates LC (Vista Health Texarkana)
• Texarkana Behavioral Associates, L.C. (Riverview Behavioral Health Outpatient Program)
• Texarkana Behavioral Associates, L.C. (Riverview Behavioral Health Outpatient Program)
• Texarkana Eye Associates
• Texarkana Eye Group PLC
• Texarkana Group, P.L.L.C (Texarkana Health Care)
• Texarkana Kidney Disease & Hypertension Center, Inc.
• Texarkana Nutrition Consultants

• Mental Health Counselor in Texarkana, AR
• Providers in Texarkana, AR by specialty
• Mental Health Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2023; 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.