Forrest C Smith, LPE

Individual provider Active NPI Professional Counselor · Beebe, AR

NPI 1992463079 · NPPES record last updated Dec 6, 2021

Key facts

NPI
1992463079
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
P2112005 (AR)
Practice address
106 N Pecan St
Beebe, AR 72012-2524
Phone
(501) 232-2600
Fax
(501) 242-0820
NPI assigned
Dec 6, 2021
Sex
Male
Sole proprietor
Yes

Organizations & group practices 1

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
P2112005ARMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Life Within Counseling Group, LLC Professional Current
since Dec 12, 2021
Accepting new patients

Locations

106 N Pecan St
Beebe, AR 72012
Phone (501) 232-2600

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X P2112005 AR Yes

Addresses

Primary practice location

106 N Pecan St
Beebe, AR 72012-2524

Mailing address

106 N Pecan St
Beebe, AR 72012-2524
Phone (501) 232-2600

Other providers in Beebe, AR

All providers in Beebe, AR · Professional Counselor in Arkansas

Sources for this page

Verify at the official NPI Registry.