| Faith Rising Therapy, Llc | |
|
104 Lock And Dam Rd Russellville AR 72802-9725 | |
| (479) 567-1864 | |
| Not Available |
| Full Name | Faith Rising Therapy, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 104 Lock And Dam Rd, Russellville, Arkansas |
| Authorized Official Name and Position | Justin Qualls (THERAPIST/OWNER) |
| Authorized Official Contact | 4795671864 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Faith Rising Therapy, Llc 794 Flurry Rd Delaware AR 72835-9317 Ph: () - | Faith Rising Therapy, Llc 104 Lock And Dam Rd Russellville AR 72802-9725 Ph: (479) 567-1864 |
| NPI Number | 1851160675 |
|---|---|
| Provider Enumeration Date | 12/20/2023 |
| Last Update Date | 12/20/2023 |
| Certification Date | 12/20/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851160675 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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