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Contact Information

BACK TO BASICS COUNSELING SERVICES
4943 OLD GREENWOOD RD
SUITE 2
FORT SMITH, AR72903
 Phone: 479-719-7051
 Fax: 478-242-2653
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Behavioral Health

251S00000X
Indicates primary specialty

NPI Profile & details for BACK TO BASICS COUNSELING SERVICES

NPI Number 1780950683
LBN Legal business name BACK TO BASICS COUNSELING SERVICES
Authorized official ILA DEBOSE - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/26/2012
Last updated 04/27/2015 - About 11 years ago
Identifiers
AR License # 2158-C
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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