Livestrong, Pllc | |
317 Dogwood Place Dr Bryant AR 72022-2839 | |
(501) 722-2819 | |
Not Available |
Full Name | Livestrong, Pllc |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 317 Dogwood Place Dr, Bryant, Arkansas |
Authorized Official Name and Position | Sean Paul Jones (CEO) |
Authorized Official Contact | 5015854445 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Livestrong, Pllc 317 Dogwood Place Dr Bryant AR 72022-2839 Ph: (501) 722-2819 | Livestrong, Pllc 317 Dogwood Place Dr Bryant AR 72022-2839 Ph: (501) 722-2819 |
NPI Number | 1336621366 |
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Provider Enumeration Date | 09/06/2018 |
Last Update Date | 09/06/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1336621366 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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