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Organization

ACTIVELIFE COUNSELING, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RACHEL WIRTH LPC (CLINICIAN, OWNER)
(479) 601-6507
Entity
Organization

Contact information

Practice address
2863 E HYLAND PARK RD, FAYETTEVILLE, AR 72701-3818
(479) 601-6507
Mailing address
2863 E HYLAND PARK RD, FAYETTEVILLE, AR 72701-3818
(479) 601-6507

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1041C0700X
Clinical Social Worker
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Enumeration date
10/02/2020
Last updated
02/24/2026
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