Lifebridge Ar Counseling

NPI #1508258021 in Siloam Springs, Arkansas

Provider Information

NPI Number
1508258021
Entity Type
Organization
Organization Name
Lifebridge Ar Counseling
Subpart
Yes (part of a larger organization)
Parent Organization
LIFEBRIDGE AR COUNSELING
Primary Specialty
Counselor - Professional
Enumeration Date
Feb 20, 2015
Last Updated
Feb 20, 2015

Practice Location

Address
301 EAST ASHLEY ST.
ZIP Code
72761
Phone
(479) 790-2483

Authorized Official

Name
ROSS KELLEY, LPC
Title
OWNER
Phone
(479) 790-2483

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional

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