Back to Basics Counseling Services
Organization Active NPI Community/Behavioral Health Agency · Fort Smith, AR
NPI 1780950683 · NPPES record last updated Apr 27, 2015
Key facts
- NPI
- 1780950683
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Legal business name
- BACK TO BASICS COUNSELING SERVICES
- Practice address
- 4943 Old Greenwood Rd
Suite 2
Fort Smith, AR 72903 - Phone
- (479) 719-7051
- Fax
- (478) 242-2653
- NPI assigned
- Mar 26, 2012
- Organization subpart
- No
Authorized official
- Name
- Ila Maureen Debose, LCSW
- Title
- Owner
- Phone
- (479) 719-7051
National Provider Directory
Locations
4943 Old Greenwood Rd
Ste 2
Fort Smith, AR 72903
Phone (479) 719-7051
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 2158-C | AR | |
| Community/Behavioral Health Agency | 251S00000X | AR | Yes |
Addresses
Primary practice location
4943 Old Greenwood Rd
Suite 2
Fort Smith, AR 72903
Mailing address
5410 Free Ferry Rd
Fort Smith, AR 72903
Phone (479) 719-7051
Other providers in Fort Smith, AR
- Lesly Ayala
- Kiranpreet Babbar
- Erin Babitzke
- Farin Alaei Bacani
- Ethan Parker Bachman
- Back to Health Clinic
- Back to Health Medical Clinic
- Marsha Dianne Baer
- Rubina Naheed Baig
- Bailey Anesthesia LLC
All providers in Fort Smith, AR · Community/Behavioral Health Agency in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 27, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.