Organization
SACRED TRUST CHRISTIAN COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CASONDRA RENEE ROBINSON PHD, THD (CEO)
(800) 395-4564
Entity
Organization
Contact information
Practice address
1720 SIMMS ST, CONWAY, AR 72034-6416
(800) 395-4564
(410) 449-6336
Mailing address
PO BOX 2431, CONWAY, AR 72033-2431
(800) 395-4564
(410) 449-6336
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
121001
OH
261QM0855X
Adolescent and Children Mental Health Clinic/Center
121001
OH
Other
Enumeration date
06/04/2018
Last updated
06/04/2018
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