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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
13910 OLD MAUMELLE RD, NORTH LITTLE ROCK, AR 72113-9004
(501) 777-3170
Mailing address
13910 OLD MAUMELLE RD, NORTH LITTLE ROCK, AR 72113-9004
(501) 777-3170

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
363LP0808X
Psychiatric/Mental Health Nurse Practitioner

Other

Enumeration date
12/07/2022
Last updated
07/31/2026
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