Provider Demographics
NPI:1073329488
Name:AARON MCLELLAN, LPC COUNSELING SERVICES, PLLC
Entity type:Organization
Organization Name:AARON MCLELLAN, LPC COUNSELING SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELOR
Authorized Official - Prefix:MR
Authorized Official - First Name:AARON
Authorized Official - Middle Name:
Authorized Official - Last Name:MCLELLAN
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:479-234-9129
Mailing Address - Street 1:3105 S 28TH PL APT 5
Mailing Address - Street 2:
Mailing Address - City:ROGERS
Mailing Address - State:AR
Mailing Address - Zip Code:72758-4729
Mailing Address - Country:US
Mailing Address - Phone:479-234-9129
Mailing Address - Fax:
Practice Address - Street 1:2700 SE OTIS CORLEY DR STE 14
Practice Address - Street 2:
Practice Address - City:BENTONVILLE
Practice Address - State:AR
Practice Address - Zip Code:72712-4184
Practice Address - Country:US
Practice Address - Phone:479-234-9129
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-10
Last Update Date:2024-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty