Organization
TREE OF LIFE COUNSELING & CONSULTING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MERIDETH L JOHNSON LCSW (INCORPORATOR/ORGANIZER)
(870) 587-7056
Entity
Organization
Contact information
Practice address
713 FALLS BLVD N, SUITE A, WYNNE, AR 72396-2208
(870) 587-7056
Mailing address
422 COUNTY ROAD 225, CHERRY VALLEY, AR 72324-8760
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4510C
AR
Other
Enumeration date
04/10/2017
Last updated
04/10/2017
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