| Puzzle Collaborative | |
|
34 W Colt Square Dr Ste 1 Fayetteville AR 72703-2888 | |
| (479) 200-0965 | |
| (479) 935-9187 |
| Full Name | Puzzle Collaborative |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 34 W Colt Square Dr Ste 1, Fayetteville, Arkansas |
| Authorized Official Name and Position | Jessica C Kitchens (OWNER) |
| Authorized Official Contact | 4792000965 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Puzzle Collaborative 1189 Leelynjean Ln Springdale AR 72762-0801 Ph: (479) 200-0965 | Puzzle Collaborative 34 W Colt Square Dr Ste 1 Fayetteville AR 72703-2888 Ph: (479) 200-0965 |
| NPI Number | 1588294631 |
|---|---|
| Provider Enumeration Date | 01/16/2020 |
| Last Update Date | 01/16/2020 |
| Certification Date | 01/16/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588294631 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
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