Organization
CAPPS WELLNESS CLINIC AND ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ACACIA LYNETTE JOHNSON ED.S., LPC (THERAPIST)
(501) 278-6688
Entity
Organization
Contact information
Practice address
623 S PINE ST, HARRISON, AR 72601-5827
(501) 278-6688
(870) 204-5306
Mailing address
623 S PINE ST, HARRISON, AR 72601-5827
(501) 278-6688
(870) 204-5306
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QR1100X
Research Clinic/Center
—
—
261QR1300X
Rural Health Clinic/Center
—
—
Other
Enumeration date
10/13/2022
Last updated
10/13/2022
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