Organization
SOUL (ER) THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BREA SYMONE JARRETT-KELLY JARRETT-KELLY (OWNER)
(501) 471-7353
Entity
Organization
Contact information
Practice address
8049 AUSTIN GARDENS CT, SHERWOOD, AR 72120-3446
(501) 471-7353
Mailing address
8049 AUSTIN GARDENS CT, SHERWOOD, AR 72120-3446
(501) 471-7353
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10447C
LCSW
AR
01
—
1922536895
NPI
AR
Enumeration date
03/12/2026
Last updated
03/12/2026
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