Provider Demographics
NPI:1962234211
Name:WILLOW SPRINGS COUNSELING SERVICES PLLC
Entity type:Organization
Organization Name:WILLOW SPRINGS COUNSELING SERVICES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STEVIE
Authorized Official - Middle Name:
Authorized Official - Last Name:CURSH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:479-355-1606
Mailing Address - Street 1:105 N FRONT ST
Mailing Address - Street 2:
Mailing Address - City:DARDANELLE
Mailing Address - State:AR
Mailing Address - Zip Code:72834-3821
Mailing Address - Country:US
Mailing Address - Phone:479-213-4144
Mailing Address - Fax:
Practice Address - Street 1:2708 E WALNUT ST
Practice Address - Street 2:
Practice Address - City:PARIS
Practice Address - State:AR
Practice Address - Zip Code:72855-4226
Practice Address - Country:US
Practice Address - Phone:479-213-4144
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:WILLOW SPRINGS COUNSELING SERVICES PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-08-15
Last Update Date:2024-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty