# THE FORGING PLACE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538561972
- **Authorized official:** NICK KEETER (PART OWNER)
- **Authorized official phone:** (479) 310-9096

## Contact information

- **Practice address:** 1304 CHERRY STREET, VAN BUREN, AR 72956
- **Practice address phone:** (479) 310-9096
- **Practice address fax:** (479) 777-8510
- **Mailing address:** 1304 CHERRY STREET, VAN BUREN, AR 72956
- **Mailing address phone:** (479) 310-9096
- **Mailing address fax:** (479) 777-8510

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 09/17/2014
- **Last updated:** 02/14/2025