Organization
CREATIVE PRACTICE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDAYSHIA TANKS (OWNER)
(501) 238-1924
Entity
Organization
Contact information
Practice address
1202 MAIN ST STE 202, LITTLE ROCK, AR 72202-5057
(501) 238-1924
(501) 491-0026
Mailing address
1202 MAIN ST STE 202, LITTLE ROCK, AR 72202-5057
(501) 238-1924
(501) 491-0026
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
12/28/2021
Last updated
01/12/2024
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