Provider Demographics
NPI:1447326962
Name:VALERIE SWEARINGEN COUNSELING, INC.
Entity type:Organization
Organization Name:VALERIE SWEARINGEN COUNSELING, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:HERB
Authorized Official - Middle Name:
Authorized Official - Last Name:MANSBRIDGE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:501-623-8828
Mailing Address - Street 1:PO BOX 20097
Mailing Address - Street 2:
Mailing Address - City:HOT SPRINGS
Mailing Address - State:AR
Mailing Address - Zip Code:71903-0097
Mailing Address - Country:US
Mailing Address - Phone:501-623-8828
Mailing Address - Fax:501-609-0025
Practice Address - Street 1:1401 MALVERN AVE
Practice Address - Street 2:SUITE 265
Practice Address - City:HOT SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:71901-6327
Practice Address - Country:US
Practice Address - Phone:501-623-8989
Practice Address - Fax:501-609-0025
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR1149-C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR5F073OtherBCBS CLINIC NUMBER
AR5F073Medicare ID - Type UnspecifiedGROUP PROVIDER NUMBER