Basic Information
| Provider Information | |||||||||
| NPI: | 1366693350 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | LIFE STRATEGIES COUNSELING, INC. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2200 E MATTHEWS AVE | ||||||||
| Address2: | |||||||||
| City: | JONESBORO | ||||||||
| State: | AR | ||||||||
| PostalCode: | 724014347 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8709721268 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1719 MERRILL DR | ||||||||
| Address2: | |||||||||
| City: | LITTLE ROCK | ||||||||
| State: | AR | ||||||||
| PostalCode: | 722124009 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5016632199 | ||||||||
| FaxNumber: | 5016632234 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/08/2008 | ||||||||
| LastUpdateDate: | 03/02/2022 | ||||||||
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| AuthorizedOfficialLastName: | CALDWELL | ||||||||
| AuthorizedOfficialFirstName: | NELLIE | ||||||||
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| AuthorizedOfficialTitleorPosition: | PRESIDENT OF OPERATIONS | ||||||||
| AuthorizedOfficialTelephone: | 5016632209 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| NPICertificationDate: | 03/02/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QM0850X | N | Ambulatory Health Care Facilities | Clinic/Center | Adult Mental Health | 261QM0855X | Y | Ambulatory Health Care Facilities | Clinic/Center | Adolescent and Children Mental Health |
No ID Information.