Organization
HOLISTIC AWAKENING L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEE WHETSTONE ELLIS LCSW (MENTAL HEALTH PROFESSIONAL)
(501) 993-9023
Entity
Organization
Contact information
Practice address
2821 KAVANAUGH BLVD STE 1B, LITTLE ROCK, AR 72205-3868
(501) 993-9023
Mailing address
20 LOU ELLEN DR, LITTLE ROCK, AR 72202-1502
(501) 993-9023
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
05/10/2024
Last updated
05/10/2024
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