| Teen Therapy Services Llc | |
|
5004 S U St Ste 202 Fort Smith AR 72903-3600 | |
| (479) 763-7266 | |
| (866) 474-4041 |
| Full Name | Teen Therapy Services Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 5004 S U St Ste 202, Fort Smith, Arkansas |
| Authorized Official Name and Position | Melanie K Taylor (OWNER) |
| Authorized Official Contact | 4797637266 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Teen Therapy Services Llc 3007 Carrington Pointe Rd Fort Smith AR 72903-5693 Ph: (479) 763-7266 | Teen Therapy Services Llc 5004 S U St Ste 202 Fort Smith AR 72903-3600 Ph: (479) 763-7266 |
| NPI Number | 1205448370 |
|---|---|
| Provider Enumeration Date | 08/20/2020 |
| Last Update Date | 08/20/2020 |
| Certification Date | 08/20/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205448370 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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