Prevail Counseling Services, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

PREVAIL COUNSELING SERVICES, LLC

Practice address

310 Mid Continent PLZ Ste 404
West Memphis, AR 72301-1700

Phone

(901) 294-9522

Fax

(855) 765-7701

NPI assigned

Feb 4, 2019

Organization subpart

No

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

Authorized official

Name

Rachel Nelson, LPC

Title

Incorporator

Phone

(901) 295-9422

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1549238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549238400000",
    "number": "1376008433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 CARTER DR",
            "city": "MARION",
            "state": "AR",
            "postal_code": "723642403",
            "telephone_number": "901-295-9422",
            "fax_number": "855-765-7701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 MID CONTINENT PLZ STE 404",
            "city": "WEST MEMPHIS",
            "state": "AR",
            "postal_code": "723011700",
            "telephone_number": "901-294-9522",
            "fax_number": "855-765-7701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREVAIL COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-04",
        "last_updated": "2019-02-04",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "INCORPORATOR",
        "authorized_official_telephone_number": "901-295-9422",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MENTAL HEALTH THERAPIST",
            "identifier": "1811209745",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in West Memphis, AR
• Providers in West Memphis, 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 Feb 4, 2019; 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.