Provider Demographics
NPI:1902500358
Name:479 COUNSELING PLLC
Entity Type:Organization
Organization Name:479 COUNSELING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROFESSIONAL COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:TORI
Authorized Official - Middle Name:
Authorized Official - Last Name:FRANCIS
Authorized Official - Suffix:
Authorized Official - Credentials:MS, LPC, TA
Authorized Official - Phone:479-391-7100
Mailing Address - Street 1:401 N 8TH ST UNIT 2316
Mailing Address - Street 2:
Mailing Address - City:ROGERS
Mailing Address - State:AR
Mailing Address - Zip Code:72756-3761
Mailing Address - Country:US
Mailing Address - Phone:479-391-7100
Mailing Address - Fax:
Practice Address - Street 1:211 W WALNUT ST # 201
Practice Address - Street 2:
Practice Address - City:ROGERS
Practice Address - State:AR
Practice Address - Zip Code:72756-6664
Practice Address - Country:US
Practice Address - Phone:479-391-7100
Practice Address - Fax:479-974-2016
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-29
Last Update Date:2023-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty