Individual
STACEY SIMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA, LAC
Contact information
Practice address
3111 S 70TH ST, FORT SMITH, AR 72903-5017
(479) 452-5560
Mailing address
5318 HIGHLAND DR, FORT SMITH, AR 72903-2354
(479) 561-7845
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A2310016
AR
225100000X
Physical Therapist
PTA1637
AR
Other
Enumeration date
01/11/2023
Last updated
11/27/2023
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