Organization
CREATE HEALING COUNSELING SERVICES PLLC
Active
Other names
Create Healing Counseling Services PLLC, Stasia L. Myers, LCSW
Organization subpart
No
Provider details
NPI number
Authorized official
STASIA LYN MYERS LCSW (PRESIDENT)
(501) 940-6135
Entity
Organization
Contact information
Practice address
1501 N UNIVERSITY AVE STE 700, LITTLE ROCK, AR 72207-5297
(501) 940-6135
(844) 235-2943
Mailing address
10 CHERRY CREST CV, LITTLE ROCK, AR 72211-5437
(501) 940-6135
(844) 235-2943
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2011C
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1790720415
NPI TYPE 1
AR
01
—
E3982
AHIN
AR
Enumeration date
07/18/2017
Last updated
06/16/2018
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