| Fayette-kids Counseling, Llc | |
|
112 E Sunbridge Dr Ste 7 Fayetteville AR 72703-2860 | |
| (479) 502-4943 | |
| Not Available |
| Full Name | Fayette-kids Counseling, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 112 E Sunbridge Dr Ste 7, Fayetteville, Arkansas |
| Authorized Official Name and Position | Kellye Carlton (MENTAL HEALTH COUNSELOR) |
| Authorized Official Contact | 4795024943 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fayette-kids Counseling, Llc 1395 E Ash St Fayetteville AR 72703-3060 Ph: (479) 502-4943 | Fayette-kids Counseling, Llc 112 E Sunbridge Dr Ste 7 Fayetteville AR 72703-2860 Ph: (479) 502-4943 |
| NPI Number | 1821659491 |
|---|---|
| Provider Enumeration Date | 06/25/2019 |
| Last Update Date | 06/25/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821659491 | NPI | - | NPPES |
| 1871832196 | Other | AR | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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