Bly Thomas Mental Health Counseling Organization INC

NPI #1619443165 in Fort Smith, Arkansas

Provider Information

NPI Number: 1619443165
Entity Type: Organization
Organization Name: Bly Thomas Mental Health Counseling Organization INC
Primary Specialty: Counselor - Mental Health
Enumeration Date: Oct 22, 2018
Last Updated: Oct 22, 2018

Practice Location

Address: 1501 S WALDRON RD STE 102
City: Fort Smith
State: Arkansas
ZIP Code: 72903-2574
Phone: (479) 414-3320

Authorized Official

Name: MR. KENNETH WAYNE ROBISON
Title: PRESIDENT
Phone: (479) 806-4540

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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