| Bonnie Bryant Lpc Therapy Services Llc | |
|
125 1/2 N Market St Benton AR 72015-3768 | |
| (501) 507-1826 | |
| Not Available |
| Full Name | Bonnie Bryant Lpc Therapy Services Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 125 1/2 N Market St, Benton, Arkansas |
| Authorized Official Name and Position | Bonnie Bryant (OWNER) |
| Authorized Official Contact | 5015071823 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bonnie Bryant Lpc Therapy Services Llc 125 1/2 N Market St Benton AR 72015-3768 Ph: (501) 507-1826 | Bonnie Bryant Lpc Therapy Services Llc 125 1/2 N Market St Benton AR 72015-3768 Ph: (501) 507-1826 |
| NPI Number | 1992422554 |
|---|---|
| Provider Enumeration Date | 10/25/2022 |
| Last Update Date | 10/25/2022 |
| Certification Date | 10/25/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992422554 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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