Organization
AT PEACE COUNSELING CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY JEAN KELLS LPC NCC (CLINICAL DIRECTOR OWNER)
(501) 764-4400
Entity
Organization
Contact information
Practice address
5 A MEDICAL LANE, CONWAY, AR 72034
(501) 764-4400
(501) 764-0049
Mailing address
5 A MEDICAL LANE, CONWAY, AR 72034
(501) 764-4400
(501) 764-0049
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5F556
ABCBS
AR
Enumeration date
09/25/2006
Last updated
08/22/2020
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