Raven Holistic Health LLC

NPI #1356060701 in Paragould, Arkansas

Provider Information

NPI Number: 1356060701
Entity Type: Organization
Organization Name: Raven Holistic Health LLC
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Aug 26, 2022
Last Updated: Aug 26, 2022

Practice Location

Address: 5289 GREENE 628 RD
City: Paragould
State: Arkansas
ZIP Code: 72450-8025
Phone: (870) 245-7640

Authorized Official

Name: JEREMEY L BEASLEY, LPC
Title: OWNER/THERAPIST
Phone: (870) 245-7640

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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