| Adventure Play Counseling, Llc | |
|
1500 Main St Van Buren AR 72956-4731 | |
| (479) 242-3200 | |
| Not Available |
| Full Name | Adventure Play Counseling, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1500 Main St, Van Buren, Arkansas |
| Authorized Official Name and Position | Lynae Otten (SOCIAL WORKER) |
| Authorized Official Contact | 7123637942 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Adventure Play Counseling, Llc 1713 Woodwind Way Van Buren AR 72956-2044 Ph: (712) 363-7942 | Adventure Play Counseling, Llc 1500 Main St Van Buren AR 72956-4731 Ph: (479) 242-3200 |
| NPI Number | 1447918099 |
|---|---|
| Provider Enumeration Date | 12/01/2021 |
| Last Update Date | 12/01/2021 |
| Certification Date | 12/01/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447918099 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
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