| The Forging Place | |
|
1403 Hidden Valley St Van Buren AR 72956-2125 | |
| (479) 414-3865 | |
| Not Available |
| Full Name | The Forging Place |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 1403 Hidden Valley St, Van Buren, Arkansas |
| Authorized Official Name and Position | Haley Bryant (PART OWNER) |
| Authorized Official Contact | 4794143865 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Forging Place 927 Main St Ste B Van Buren AR 72956-4300 Ph: (479) 414-3865 | The Forging Place 1403 Hidden Valley St Van Buren AR 72956-2125 Ph: (479) 414-3865 |
| NPI Number | 1538561972 |
|---|---|
| Provider Enumeration Date | 09/17/2014 |
| Last Update Date | 09/17/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538561972 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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