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Organization
MUSTARD SEED
Active
Organization
MUSTARD SEED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOLLY GILLIAM LPC (THERAPIST)
(479) 459-6549
Entity
Organization
Contact information
Practice address
261 AZALEA DR, GREENWOOD, AR 72936-4998
(479) 459-6749
Mailing address
261 AZALEA DR, GREENWOOD, AR 72936-4998
(479) 459-6749
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/31/2024
Last updated
05/31/2024
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