# WHITE RIVER HEALING LLC

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

## Provider details

- **NPI number:** 1932696507
- **Authorized official:** MICHELLE SMITH M.S., CCC-SLP (SPEECH-LANGUAGE PATHOLOGIST)
- **Authorized official phone:** (214) 549-8651

## Contact information

- **Practice address:** 63 CIFUENTES WAY, HOT SPRINGS VILLAGE, AR 71909-7440
- **Practice address phone:** (214) 549-8651
- **Mailing address:** 63 CIFUENTES WAY, HOT SPRINGS VILLAGE, AR 71909-7440
- **Mailing address phone:** (214) 549-8651

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 235Z00000X | Speech-Language Pathologist | — | NULL | Yes |
| 235Z00000X | Speech-Language Pathologist | — | — | Yes |
| 261QH0700X | Hearing and Speech Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 04/18/2018
- **Last updated:** 08/02/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 3808693 | — | TX |