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Organization
CAPPS WELLNESS CLINIC AND ASSOCIATES, INC.
Active
Organization
CAPPS WELLNESS CLINIC AND ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ACACIA LYNETTE JOHNSON ED.S., LPC (THERAPIST)
(501) 278-6688
Entity
Organization
Contact information
Practice address
623 S PINE ST, HARRISON, AR 72601-5827
(501) 278-6688
(870) 204-5306
Mailing address
623 S PINE ST, HARRISON, AR 72601-5827
(501) 278-6688
(870) 204-5306
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QR1100X
Research Clinic/Center
—
—
261QR1300X
Rural Health Clinic/Center
—
—
Other
Enumeration date
10/13/2022
Last updated
10/13/2022
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