Organization
STABLE MINDED, LLC
Active
Other names
Stable Minded
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY KING (BILLING/CREDENTIALING MANAGER)
(479) 366-4241
Entity
Organization
Contact information
Practice address
4415 N 2ND ST, ROGERS, AR 72756-7413
(479) 397-1807
Mailing address
8812 OLD DUTCH ELBOW, ROGERS, AR 72756-7862
(954) 817-3404
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
06/22/2022
Last updated
06/22/2022
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