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Organization
MIRACLE KIDS SUCCESS ACADEMY NORTH
Active
Organization
MIRACLE KIDS SUCCESS ACADEMY NORTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELLY A. KELLER (CEO)
(870) 932-3600
Entity
Organization
Contact information
Practice address
806 GLENDALE ST, JONESBORO, AR 72401-4455
(870) 333-2600
(870) 300-2337
Mailing address
806 GLENDALE ST, JONESBORO, AR 72401-4455
(870) 333-2600
(870) 300-2337
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
NULL
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
Other
Enumeration date
08/20/2026
Last updated
08/20/2026
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