Balanced Space Counseling Services, PLLC

Organization Active NPI Clinical Social Worker · Little Rock, AR

NPI 1730617705 · NPPES record last updated Jun 2, 2017

Key facts

NPI
1730617705
Entity type
Organization (NPI type 2)
Primary specialty
Clinical Social Worker 1041C0700X
License
6653-C (AR)
Legal business name
BALANCED SPACE COUNSELING SERVICES, PLLC
Practice address
2723 Foxcroft Rd Ste 202E
Little Rock, AR 72227-6522
Phone
(501) 612-7877
NPI assigned
Jun 2, 2017
Organization subpart
No

Authorized official

Name
Mr. Michael Brandon Rogers, LCSW
Title
Chief Officer
Phone
(501) 612-7877

Practitioners 1

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

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker
Group: 193400000X SINGLE SPECIALTY GROUP
1041C0700X 6653-C AR Yes

Addresses

Primary practice location

2723 Foxcroft Rd Ste 202E
Little Rock, AR 72227-6522

Mailing address

6 Emerald CT
Little Rock, AR 72212-2107
Phone (501) 612-7877

Other providers in Little Rock, AR

All providers in Little Rock, AR · Clinical Social Worker in Arkansas

Sources for this page

Verify at the official NPI Registry.