| Holding Space Counseling, Llc | |
|
2400 Crestwood Rd Ste 201 North Little Rock AR 72116-7663 | |
| (501) 409-6653 | |
| Not Available |
| Full Name | Holding Space Counseling, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2400 Crestwood Rd Ste 201, North Little Rock, Arkansas |
| Authorized Official Name and Position | Mackenzi Trichel Davis (THERAPIST/OWNER) |
| Authorized Official Contact | 5015390695 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Holding Space Counseling, Llc 2400 Crestwood Rd Ste 201 North Little Rock AR 72116-7663 Ph: (501) 409-6653 | Holding Space Counseling, Llc 2400 Crestwood Rd Ste 201 North Little Rock AR 72116-7663 Ph: (501) 409-6653 |
| NPI Number | 1659013290 |
|---|---|
| Provider Enumeration Date | 04/13/2022 |
| Last Update Date | 04/30/2022 |
| Certification Date | 04/30/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659013290 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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