Organization
SALT AND LIGHT HOLISTIC HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE LANELL BURNETT APRN (CO-OWNER/CEO)
(501) 765-8390
Entity
Organization
Contact information
Practice address
2001 CLUB MANOR DR STE D, MAUMELLE, AR 72113-7417
(501) 765-8390
Mailing address
21415 CHISM DR, NORTH LITTLE ROCK, AR 72113-9705
(501) 765-8390
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/07/2022
Last updated
12/07/2022
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