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Organization

BETHANY CHRISTIAN SERVICES OF AK

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LISA STOUTMEYER (BILLER)
(616) 224-7429
Entity
Organization

Contact information

Practice address
1100 N UNIVERSITY AVE STE 66, LITTLE ROCK, AR 72207-6300
(501) 664-5729
(501) 664-5740
Mailing address
1100 N UNIVERSITY AVE STE 66, LITTLE ROCK, AR 72207-6300
(501) 664-5729
(501) 664-5740

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary

Other

Enumeration date
02/11/2020
Last updated
02/11/2020
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