| Activelife Counseling, Llc | |
|
1792 E Joyce Blvd Ste 105 Fayetteville AR 72703-5253 | |
| (479) 358-7690 | |
| Not Available |
| Full Name | Activelife Counseling, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1792 E Joyce Blvd Ste 105, Fayetteville, Arkansas |
| Authorized Official Name and Position | Rachel Henningsen (OWNER, FOUNDER, CEO, COUNSELOR) |
| Authorized Official Contact | 5014138221 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Activelife Counseling, Llc 1792 E Joyce Blvd Ste 105 Fayetteville AR 72703-5253 Ph: (479) 358-7690 | Activelife Counseling, Llc 1792 E Joyce Blvd Ste 105 Fayetteville AR 72703-5253 Ph: (479) 358-7690 |
| NPI Number | 1053918169 |
|---|---|
| Provider Enumeration Date | 10/02/2020 |
| Last Update Date | 10/02/2020 |
| Certification Date | 10/02/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053918169 | NPI | - | NPPES |
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