| Arkansas Healing Space, Pllc | |
|
203 Lillian Benton AR 72015-3851 | |
| (501) 515-2127 | |
| Not Available |
| Full Name | Arkansas Healing Space, Pllc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 203 Lillian, Benton, Arkansas |
| Authorized Official Name and Position | Gisheera Rardin (THERAPIST) |
| Authorized Official Contact | 5015152127 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Arkansas Healing Space, Pllc Po Box 778 Benton AR 72018-0778 Ph: (501) 515-2127 | Arkansas Healing Space, Pllc 203 Lillian Benton AR 72015-3851 Ph: (501) 515-2127 |
| NPI Number | 1841087111 |
|---|---|
| Provider Enumeration Date | 04/21/2025 |
| Last Update Date | 04/21/2025 |
| Certification Date | 04/21/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841087111 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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