Active NPI
Sanctuary Counseling LLC
- Community/Behavioral Health Agency
- Fort Smith, AR
National Provider Identifier
1083486427
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- SANCTUARY COUNSELING LLC
- Practice address
- 6901 Dallas St Ste a
Fort Smith, AR 72903-5037 - Phone
- (479) 210-2146
- NPI assigned
- Oct 30, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Julianne Passen, LPC
- Title
- Owner
- Phone
- (479) 670-2143
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
6901 Dallas St Ste a
Fort Smith, AR 72903-5037
Mailing address
1716 Oak Grove Rd
Van Buren, AR 72956-8629
National Provider Directory
National Provider DirectoryLocations
6901 Dallas St
Ste A
Fort Smith, AR 72903
Phone (479) 210-2146
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698624000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1698624000000",
"number": "1083486427",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1716 OAK GROVE RD",
"city": "VAN BUREN",
"state": "AR",
"postal_code": "729568629"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6901 DALLAS ST STE A",
"city": "FORT SMITH",
"state": "AR",
"postal_code": "729035037",
"telephone_number": "479-210-2146"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SANCTUARY COUNSELING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-10-30",
"last_updated": "2023-10-30",
"certification_date": "2023-10-28",
"status": "A",
"authorized_official_last_name": "PASSEN",
"authorized_official_first_name": "JULIANNE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "479-670-2143",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Smith, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.