| Divine Light Counseling Services, Pllc | |
|
2800 Browns Ln Jonesboro AR 72401-7236 | |
| (479) 692-3285 | |
| Not Available |
| Full Name | Divine Light Counseling Services, Pllc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 2800 Browns Ln, Jonesboro, Arkansas |
| Authorized Official Name and Position | Holli B Shelton (PRESIDENT) |
| Authorized Official Contact | 4796923285 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Divine Light Counseling Services, Pllc 2800 Browns Ln Jonesboro AR 72401-7236 Ph: (479) 692-3285 | Divine Light Counseling Services, Pllc 2800 Browns Ln Jonesboro AR 72401-7236 Ph: (479) 692-3285 |
| NPI Number | 1912688813 |
|---|---|
| Provider Enumeration Date | 07/25/2023 |
| Last Update Date | 07/25/2023 |
| Certification Date | 07/25/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912688813 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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