Activelife Counseling, LLC
NPI #1053918169 in Fayetteville, Arkansas
Provider Information
- NPI Number
- 1053918169
- Entity Type
- Organization
- Organization Name
- Activelife Counseling, LLC
- Primary Specialty
- Clinic/Center - Mental Health (Including Community Mental Health Center)
- Enumeration Date
- Oct 2, 2020
- Last Updated
- Oct 2, 2020
Practice Location
- Address
- 1792 E JOYCE BLVD STE 105
- City
- Fayetteville
- State
- Arkansas
- ZIP Code
- 72703-5253
- Phone
- (479) 358-7690
Authorized Official
- Name
- RACHEL HENNINGSEN, LAC, MS, EDS
- Title
- OWNER, FOUNDER, CEO, COUNSELOR
- Phone
- (501) 413-8221
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
| Counselor - Professional — Professional |
| Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center) |
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