| Nwa Therapy | |
|
2592 N Gregg Ave, Suite 10 Fayetteville AR 72703-5520 | |
| (479) 790-2324 | |
| (888) 965-6911 |
| Full Name | Nwa Therapy |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2592 N Gregg Ave, Suite 10, Fayetteville, Arkansas |
| Authorized Official Name and Position | Chantal Aimee Carter (OWNER/THERAPIST) |
| Authorized Official Contact | 4797902324 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nwa Therapy 2592 N Gregg Ave, Suite 10 Fayetteville AR 72703-5520 Ph: (479) 790-2324 | Nwa Therapy 2592 N Gregg Ave, Suite 10 Fayetteville AR 72703-5520 Ph: (479) 790-2324 |
| NPI Number | 1649779422 |
|---|---|
| Provider Enumeration Date | 02/07/2018 |
| Last Update Date | 01/28/2020 |
| Certification Date | 01/28/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649779422 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 2292-C (Arkansas) | Primary |
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