| Mustard Seed | |
|
261 Azalea Dr Greenwood AR 72936-4998 | |
| (479) 459-6749 | |
| Not Available |
| Full Name | Mustard Seed |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 261 Azalea Dr, Greenwood, Arkansas |
| Authorized Official Name and Position | Holly Gilliam (THERAPIST) |
| Authorized Official Contact | 4794596549 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mustard Seed 261 Azalea Dr Greenwood AR 72936-4998 Ph: (479) 459-6749 | Mustard Seed 261 Azalea Dr Greenwood AR 72936-4998 Ph: (479) 459-6749 |
| NPI Number | 1649010026 |
|---|---|
| Provider Enumeration Date | 05/31/2024 |
| Last Update Date | 05/31/2024 |
| Certification Date | 05/31/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649010026 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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