| Journey To Grow Llc | |
|
2603 Chaffin Ln Magnolia AR 71753-4327 | |
| (318) 596-9159 | |
| Not Available |
| Full Name | Journey To Grow Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 2603 Chaffin Ln, Magnolia, Arkansas |
| Authorized Official Name and Position | Anitra Bradford (MHP) |
| Authorized Official Contact | 8709498754 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Journey To Grow Llc 2603 Chaffin Ln Magnolia AR 71753-4327 Ph: (318) 596-9159 | Journey To Grow Llc 2603 Chaffin Ln Magnolia AR 71753-4327 Ph: (318) 596-9159 |
| NPI Number | 1144928615 |
|---|---|
| Provider Enumeration Date | 02/23/2023 |
| Last Update Date | 02/23/2023 |
| Certification Date | 02/21/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144928615 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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