Organization
REAL MOMENTS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY SMITH LPC (PRESIDENT)
(479) 857-0655
Entity
Organization
Contact information
Practice address
211 E 4TH ST, RUSSELLVILLE, AR 72801-5133
(479) 857-0655
Mailing address
155 RIDGE ROCK DR, RUSSELLVILLE, AR 72802-2226
(479) 857-0655
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
07/10/2025
Last updated
07/10/2025
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