# BETHANY CHRISTIAN SERVICES OF AK

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093347726
- **Authorized official:** LISA STOUTMEYER (BILLER)
- **Authorized official phone:** (616) 224-7429

## Contact information

- **Practice address:** 1100 N UNIVERSITY AVE STE 66, LITTLE ROCK, AR 72207-6300
- **Practice address phone:** (501) 664-5729
- **Practice address fax:** (501) 664-5740
- **Mailing address:** 1100 N UNIVERSITY AVE STE 66, LITTLE ROCK, AR 72207-6300
- **Mailing address phone:** (501) 664-5729
- **Mailing address fax:** (501) 664-5740

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 02/11/2020
- **Last updated:** 02/11/2020