| Golden Life Therapy And Wellness Services Llc | |
|
1706 W Gilligan Ave Rogers AR 72758-5500 | |
| (479) 323-1172 | |
| Not Available |
| Full Name | Golden Life Therapy And Wellness Services Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1706 W Gilligan Ave, Rogers, Arkansas |
| Authorized Official Name and Position | Tiara Chante Hudson (OWNER/THERAPIST) |
| Authorized Official Contact | 4793231172 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Golden Life Therapy And Wellness Services Llc 100 N Dixieland Rd Ste D-2 Box 326 Rogers AR 72756-1123 Ph: (479) 323-1172 | Golden Life Therapy And Wellness Services Llc 1706 W Gilligan Ave Rogers AR 72758-5500 Ph: (479) 323-1172 |
| NPI Number | 1447975610 |
|---|---|
| Provider Enumeration Date | 10/10/2022 |
| Last Update Date | 10/10/2022 |
| Certification Date | 10/10/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447975610 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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