Theodore Gongola is a Russellville, Arkansas based counselor who is specialized as Counselor. His current practice location is 3205 W Main St, Russellville. Patients can book an appointment with him at 479-967-4673.
Theodore Gongola is a trained and licensed mental health professional who helps individuals, couples, or groups manage and overcome emotional, psychological, behavioral, or relationship challenges. He works with people dealing with anxiety, depression, mood disorders, trauma, post-traumatic stress disorder (PTSD), grief and loss etc. He support his clients by understanding their thoughts, emotions, and behaviors.
Complete Profile:
Theodore Gongola speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Theodore Gongola |
| Specialization: | Counselor |
| Gender: | Male |
| Accepts Medicare Assignment: | No |
| Practice Address: | 3205 W Main St, Russellville, Arkansas, 72801-2301 |
| Phone: | 479-967-4673 |
| Fax: | 479-967-7140 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1053656108 |
| NPI Enumeration Date: | 30 Nov, 2012 |
| NPI Last Update On: | 30 Nov, 2012 |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 602 N Walton Blvd, Bentonville, Arkansas |
| Zip: | 72712-4576 |
| Phone Number: | 479-464-1060 |
| Fax Number: | 479-271-6307 |
Patients can reach Theodore Gongola at
3205 W Main St, Russellville, Arkansas or can
call to book an appointment on 479-967-4673.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.