# THERAPY ASSESSMENT CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** THERAPY ASSESSMENT CENTER LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1487492153
- **Legal business name:** THERAPY ASSESSMENT CENTER LLC
- **Authorized official:** DR. SAMANTHA SEWELL SHORT PSYD (OWNER)
- **Authorized official phone:** (501) 358-6396

## Contact information

- **Practice address:** 317 OAK ST STE 3, CONWAY, AR 72032-5679
- **Practice address phone:** (501) 358-6396
- **Practice address fax:** (501) 588-0484
- **Mailing address:** 317 OAK ST STE 3, CONWAY, AR 72032-5679
- **Mailing address phone:** (501) 358-6396
- **Mailing address fax:** (501) 588-0484

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 07/17/2024
- **Last updated:** 07/17/2024