| An Embraced Life | |
|
1422 Caldwell St Suite H Conway AR 72034-5319 | |
| (501) 499-9231 | |
| (501) 904-4373 |
| Full Name | An Embraced Life |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1422 Caldwell St, Conway, Arkansas |
| Authorized Official Name and Position | Leslie Ann Thomas (OWNER/LPC) |
| Authorized Official Contact | 5014999231 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| An Embraced Life 3900 Dave Ward Dr Ste 1900, Pmb#327 Conway AR 72034-5583 Ph: (501) 499-9231 | An Embraced Life 1422 Caldwell St Suite H Conway AR 72034-5319 Ph: (501) 499-9231 |
| NPI Number | 1023550548 |
|---|---|
| Provider Enumeration Date | 11/15/2016 |
| Last Update Date | 11/15/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023550548 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | P1611168 (Arkansas) | Primary |
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