Fordyce Counseling Clinic, Inc.

NPI #1912941220 in Fordyce, Arkansas

Provider Information

NPI Number: 1912941220
Entity Type: Organization
Organization Name: Fordyce Counseling Clinic, Inc.
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Jun 16, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 1101 W 3RD ST
City: Fordyce
State: Arkansas
ZIP Code: 71742-3014
Phone: (870) 352-5122

Authorized Official

Name: MR. DANIEL LOYD MOORE, M.S., L.A.C.
Title: PRESIDENT
Phone: (870) 352-5122

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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South Arkansas Regional Health Center Part of South Arkansas Regional Health Center	Clinic/Center - Mental Health (Including Community Mental Health Center)	Fordyce	AI Deep Dive
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South Arkansas Regional Health Center	Clinic/Center - Mental Health (Including Community Mental Health Center)	El Dorado	AI Deep Dive
Northwest Counseling & Social Work Services, INC	Clinic/Center - Mental Health (Including Community Mental Health Center)	Fayetteville	AI Deep Dive
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