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Organization
MIRACLE KIDS SUCCESS ACADEMY OF PARAGOULD
Active
Organization
MIRACLE KIDS SUCCESS ACADEMY OF PARAGOULD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELLY A. KELLER (CEO)
(870) 932-3600
Entity
Organization
Contact information
Practice address
1910 RECTOR RD, PARAGOULD, AR 72450-2004
(870) 240-8900
(870) 200-6535
Mailing address
1910 RECTOR RD, PARAGOULD, AR 72450-2004
(870) 240-8900
(870) 200-6535
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
NULL
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
Other
Enumeration date
08/20/2026
Last updated
08/20/2026
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