| Healing Spirit Therapies, Llc | |
|
221 N East Ave #201 Fayetteville AR 72701-5226 | |
| (479) 200-8472 | |
| (479) 442-2881 |
| Full Name | Healing Spirit Therapies, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 221 N East Ave, Fayetteville, Arkansas |
| Authorized Official Name and Position | Grace Louise Culpepper (OWNER/PRACTITIONER) |
| Authorized Official Contact | 4792008472 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Healing Spirit Therapies, Llc 221 N East Ave #201 Fayetteville AR 72701-5226 Ph: (479) 200-8472 | Healing Spirit Therapies, Llc 221 N East Ave #201 Fayetteville AR 72701-5226 Ph: (479) 200-8472 |
| NPI Number | 1003124272 |
|---|---|
| Provider Enumeration Date | 09/21/2010 |
| Last Update Date | 09/21/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003124272 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 1729-C (Arkansas) | Primary |
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