Organization
MIDTOWN COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL DAILY (LICENSED PROFESSIONAL COUNSELOR)
(479) 650-8994
Entity
Organization
Contact information
Practice address
1845 N GREEN ACRES RD, FAYETTEVILLE, AR 72703-2615
(479) 650-8994
Mailing address
1845 N GREEN ACRES RD, FAYETTEVILLE, AR 72703-2615
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
P1209086
AR
Other
Enumeration date
09/11/2015
Last updated
09/11/2015
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