| Lindsey Gipson Llc | |
|
1160 Musket St Prairie Grove AR 72753-9348 | |
| (479) 806-2053 | |
| Not Available |
| Full Name | Lindsey Gipson Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1160 Musket St, Prairie Grove, Arkansas |
| Authorized Official Name and Position | Lindsey Gipson (OWNER/MENTAL HEALTH THERAPIST) |
| Authorized Official Contact | 4798062053 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lindsey Gipson Llc 1 E Center St Suite 320 C Fayetteville AR 72701-5349 Ph: (479) 806-2053 | Lindsey Gipson Llc 1160 Musket St Prairie Grove AR 72753-9348 Ph: (479) 806-2053 |
| NPI Number | 1336675073 |
|---|---|
| Provider Enumeration Date | 05/01/2017 |
| Last Update Date | 05/01/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336675073 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | P1609142 (Arkansas) | Primary |
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