Nwa Premier Therapy

NPI #1043774516 in Rogers, Arkansas

Provider Information

NPI Number: 1043774516
Entity Type: Organization
Organization Name: Nwa Premier Therapy
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Jan 29, 2019
Last Updated: Jan 29, 2019

Practice Location

Address: 5305 W VILLAGE PKWY
Address 2: SUITE 8
City: Rogers
State: Arkansas
ZIP Code: 72758
Phone: (479) 372-7446

Authorized Official

Name: MS. VICTORIA LYNN SULLIVAN, LPC
Title: OWNER
Phone: (479) 372-7446

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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