Provider Demographics
NPI:1548653843
Name:ROGERS COUNSELING SERVICES, INC.
Entity type:Organization
Organization Name:ROGERS COUNSELING SERVICES, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CYNDIE
Authorized Official - Middle Name:LUE
Authorized Official - Last Name:LYON
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:479-957-8464
Mailing Address - Street 1:2303 W BEACON CIRCLE DR
Mailing Address - Street 2:
Mailing Address - City:ROGERS
Mailing Address - State:AR
Mailing Address - Zip Code:72758-6433
Mailing Address - Country:US
Mailing Address - Phone:479-957-8464
Mailing Address - Fax:479-936-8196
Practice Address - Street 1:2303 W BEACON CIRCLE DR
Practice Address - Street 2:
Practice Address - City:ROGERS
Practice Address - State:AR
Practice Address - Zip Code:72758-6433
Practice Address - Country:US
Practice Address - Phone:479-957-8464
Practice Address - Fax:479-936-8196
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-10
Last Update Date:2015-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARC-9771041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty