Organization
MOONBROOK MIND & BODY INTEGRATIVE SERVICES INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA KENNINGTON (OWNER)
(870) 330-4095
Entity
Organization
Contact information
Practice address
421 PECAN ST, TEXARKANA, AR 71854-5333
(870) 330-4095
(844) 706-5741
Mailing address
421 PECAN ST, TEXARKANA, AR 71854-5333
(870) 330-4095
(844) 706-5461
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
01/16/2020
Last updated
01/20/2026
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