person
Ms. Mia Emily Gordon, LPC
Clinic/Center in Little Rock, Arkansas
NPI 1396183091

Mia Emily Gordon is a Clinic/Center based in Little Rock, AR. Mia Emily Gordon practices in Little Rock, AR and has the professional credentials of LPC. The NPI Number for Mia Emily Gordon is 1396183091 and holds a License No. P1508084 (Arkansas).

The current practice location address for Mia Emily Gordon is 204 Executive Ct Ste 301, Little Rock, AR and can be reached out via phone at 501-679-1469. You can also correspond with Mia Emily Gordon through the mailing address at 425 W CAPITOL AVE STE 1213, LITTLE ROCK, AR - 72201-3405 (mailing address contact number: 501-679-1469).

Location: 204 Executive Ct Ste 301, Little Rock, AR, 72201-3405
person
Provider Profile Details
NPI Number
1396183091
Provider Name
Mia Emily Gordon
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
204 Executive Ct Ste 301, Little Rock, AR, 72201-3405
Phone Number
501-679-1469
Fax Number
Provider Enumeration Date
06/05/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
204 Executive Ct Ste 301
City
State
Zip
72205-4532
Phone Number
501-679-1469
Fax Number
person
Provider Business Mailing Address Details
Address
204 Executive Ct Ste 301
City
State
Zip
72205-4532
Phone Number
501-679-1469
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
A1305056 (Arkansas)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
License No.
P1508084 (Arkansas)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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