Provider Demographics
NPI:1124694245
Name:SARA KING COUNSELING LLC
Entity type:Organization
Organization Name:SARA KING COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:SARA
Authorized Official - Middle Name:
Authorized Official - Last Name:KING
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:479-544-0191
Mailing Address - Street 1:63 WENTWORTH DR
Mailing Address - Street 2:
Mailing Address - City:BELLA VISTA
Mailing Address - State:AR
Mailing Address - Zip Code:72715-6514
Mailing Address - Country:US
Mailing Address - Phone:479-544-0191
Mailing Address - Fax:479-239-8523
Practice Address - Street 1:5212 W VILLAGE PKWY STE 1
Practice Address - Street 2:
Practice Address - City:ROGERS
Practice Address - State:AR
Practice Address - Zip Code:72758-8190
Practice Address - Country:US
Practice Address - Phone:479-544-0191
Practice Address - Fax:479-239-8523
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-29
Last Update Date:2024-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)