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Organization
STATE OF THE HEART COUNSELING SERVICES, INC.
Active
Organization
STATE OF THE HEART COUNSELING SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANDREA MICHELLE FRESH LCSW (DIRECTOR)
(501) 442-2293
Entity
Organization
Contact information
Practice address
7123 I-30, SUITE 6, LITTLE ROCK, AR 72209-3121
(501) 414-0070
Mailing address
PO BOX 451, LITTLE ROCK, AR 72203-0451
(501) 442-2293
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2117-C
AR
Other
Enumeration date
12/17/2010
Last updated
03/27/2012
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