| Fostering Resilience Llc | |
|
1826 Highway 79 S # Ths Magnolia AR 71753-9198 | |
| (870) 299-3683 | |
| Not Available |
| Full Name | Fostering Resilience Llc |
|---|---|
| Speciality | Counselor |
| Location | 1826 Highway 79 S # Ths, Magnolia, Arkansas |
| Authorized Official Name and Position | Katina Renee Levingston (MANAGER) |
| Authorized Official Contact | 9032937093 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fostering Resilience Llc 4114 Mcknight Rd Texarkana TX 75503-1086 Ph: (903) 293-7093 | Fostering Resilience Llc 1826 Highway 79 S # Ths Magnolia AR 71753-9198 Ph: (870) 299-3683 |
| NPI Number | 1417539412 |
|---|---|
| Provider Enumeration Date | 04/28/2021 |
| Last Update Date | 04/28/2021 |
| Certification Date | 04/28/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417539412 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
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