At Peace Counseling Center Inc

Organization Active NPI Professional Counselor · Conway, AR

NPI 1144320516 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1144320516
Entity type
Organization (NPI type 2)
Primary specialty
Professional Counselor 101YP2500X
Legal business name
AT PEACE COUNSELING CENTER INC
Practice address
5 A Medical Lane
Conway, AR 72034
Phone
(501) 764-4400
Fax
(501) 764-0049
NPI assigned
Sep 25, 2006
Organization subpart
No

Authorized official

Name
Kathy Jean Kells, LPC NCC
Title
Clinical Director Owner
Phone
(501) 764-4400

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

5 Medical Ln
Ste A
Conway, AR 72034
Phone (501) 764-4400

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor
Group: 193400000X SINGLE SPECIALTY GROUP
101YP2500X AR Yes

Addresses

Primary practice location

5 A Medical Lane
Conway, AR 72034

Mailing address

5 A Medical Lane
Conway, AR 72034
Phone (501) 764-4400

Other identifiers

IdentifierTypeStateIssuer
5F556OtherARABCBS

Other providers in Conway, AR

All providers in Conway, AR · Professional Counselor in Arkansas

Sources for this page

Verify at the official NPI Registry.