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Organization

GREENLIGHT CONSULTING, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LISA J KELLEY (EXECUTIVE ADMINISTRATOR)
(901) 827-0645
Entity
Organization

Contact information

Practice address
5307 KAVANAUGH BLVD, LITTLE ROCK, AR 72207-4610
(501) 295-3900
(501) 613-0181
Mailing address
1902 HAMILTON AVE E, WYNNE, AR 72396-2562
(901) 827-0645

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
01/22/2020
Last updated
01/22/2020
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