| Simple Soul Counseling Services Llc | |
|
351 E Priddy St Ste B Magazine AR 72943-8503 | |
| (870) 204-5640 | |
| (870) 204-5306 |
| Full Name | Simple Soul Counseling Services Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 351 E Priddy St Ste B, Magazine, Arkansas |
| Authorized Official Name and Position | Acacia Lynette Johnson (OWNER) |
| Authorized Official Contact | 8702045640 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Simple Soul Counseling Services Llc 303 W Newman Ave Harrison AR 72601-5839 Ph: (870) 204-5640 | Simple Soul Counseling Services Llc 351 E Priddy St Ste B Magazine AR 72943-8503 Ph: (870) 204-5640 |
| NPI Number | 1578336509 |
|---|---|
| Provider Enumeration Date | 11/01/2023 |
| Last Update Date | 11/07/2023 |
| Certification Date | 11/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578336509 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |