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Organization

BALANCE ROAD PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DAWNA BISHOP STEVENS LCSW, LADAC, SAP (OWNER MANAGER)
(479) 422-2280
Entity
Organization

Contact information

Practice address
1130 E MILLSAP RD, FAYETTEVILLE, AR 72703-5150
(479) 422-2280
(479) 616-1618
Mailing address
PO BOX 10348, FAYETTEVILLE, AR 72703-0041

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
2535-C
AR

Other

Enumeration date
04/20/2011
Last updated
04/20/2011
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