Daniel George, LPC

Individual provider Active NPI Mental Health Counselor · White Hall, AR

NPI 1104057702 · NPPES record last updated Jun 5, 2019

Key facts

NPI
1104057702
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
P1204051 (AR)
Practice address
109 Frankie LN
White Hall, AR 71602-2685
Phone
(870) 247-3588
Fax
(870) 247-2072
NPI assigned
Jul 30, 2009
Sex
Male
Sole proprietor
Yes

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
P1204051ARMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
BHC Pinnacle Pointe Hospital, Inc. Past Accepting new patients
BHC Pinnacle Pointe Hospital LLC Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X P1204051 AR Yes

Addresses

Primary practice location

109 Frankie LN
White Hall, AR 71602-2685

Mailing address

109 Frankie LN
White Hall, AR 71602-2685
Phone (870) 247-3588

Other providers in White Hall, AR

All providers in White Hall, AR · Mental Health Counselor in Arkansas

Sources for this page

Verify at the official NPI Registry.