Organization
STATE OF THE HEART COUNSELING SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANDREA MICHELLE FRESH LCSW (DIRECTOR)
(501) 442-2293
Entity
Organization
Contact information
Practice address
7123 I-30, SUITE 6, LITTLE ROCK, AR 72209-3121
(501) 414-0070
Mailing address
PO BOX 451, LITTLE ROCK, AR 72203-0451
(501) 442-2293
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2117-C
AR
Other
Enumeration date
12/17/2010
Last updated
03/27/2012
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