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Organization
LILLIES IN THE VALLEY COUNSELING SERVICES, LLC
Active
Organization
LILLIES IN THE VALLEY COUNSELING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FANNIE BEATRICE WALLACE, MS LAC (MENTAL HEALTH THERAPIST)
(501) 553-5538
Entity
Organization
Contact information
Practice address
104 SONNET ST, HOT SPRINGS, AR 71913-4437
(501) 553-5539
Mailing address
PO BOX 1011, HOT SPRINGS, AR 71902-1011
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/04/2020
Last updated
06/04/2020
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