Provider Demographics
NPI:1902075807
Name:COUNSELING AND EDUCATION CENTER, INC
Entity Type:Organization
Organization Name:COUNSELING AND EDUCATION CENTER, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:GRACIE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:GONNER
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:870-338-8447
Mailing Address - Street 1:406 PECAN ST
Mailing Address - Street 2:
Mailing Address - City:HELENA
Mailing Address - State:AR
Mailing Address - Zip Code:72342-3212
Mailing Address - Country:US
Mailing Address - Phone:870-338-8447
Mailing Address - Fax:
Practice Address - Street 1:406 PECAN ST
Practice Address - Street 2:
Practice Address - City:HELENA
Practice Address - State:AR
Practice Address - Zip Code:72342-3212
Practice Address - Country:US
Practice Address - Phone:870-338-8447
Practice Address - Fax:870-338-8048
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-25
Last Update Date:2008-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0401XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)