Lifebridge Ar Counseling | |
301 East Ashley St. Siloam Springs AR 72761 | |
(479) 790-2483 | |
Not Available |
Full Name | Lifebridge Ar Counseling |
---|---|
Speciality | Counselor - Professional |
Location | 301 East Ashley St., Siloam Springs, Arkansas |
Authorized Official Name and Position | Ross Kelley (OWNER) |
Authorized Official Contact | 4797902483 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Lifebridge Ar Counseling 301 East Ashley St. Siloam Springs AR 72761 Ph: (479) 790-2483 | Lifebridge Ar Counseling 301 East Ashley St. Siloam Springs AR 72761 Ph: (479) 790-2483 |
NPI Number | 1508258021 |
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Provider Enumeration Date | 02/20/2015 |
Last Update Date | 02/20/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1508258021 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | P1402021 (Arkansas) | Primary |
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