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Organization
MIRACLE KIDS SUCCESS ACADEMY, INC.
Active
Organization
MIRACLE KIDS SUCCESS ACADEMY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELLY A. KELLER (CEO)
(870) 932-3600
Entity
Organization
Contact information
Practice address
1900 STILLWATER DR, JONESBORO, AR 72404-9119
(870) 932-3600
Mailing address
1900 STILLWATER DR, JONESBORO, AR 72404-9119
(870) 932-3600
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
NULL
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
Other
Enumeration date
07/21/2026
Last updated
07/21/2026
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