Life Trek, LLC

NPI #1861925968 in Cabot, Arkansas

Provider Information

NPI Number: 1861925968
Entity Type: Organization
Organization Name: Life Trek, LLC
Primary Specialty: Psychologist - Counseling
Enumeration Date: Apr 5, 2017
Last Updated: Apr 5, 2017

Practice Location

Address: 21 SYCAMORE ST
City: Cabot
State: Arkansas
ZIP Code: 72023-3714
Phone: (501) 617-5678

Authorized Official

Name: DR. CATHY LYNN STATON, PH.D., L.P.
Title: PSYCHOLOGIST
Phone: (501) 617-5678

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Counseling — Counseling	103TC1900X	Primary

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