Organization
ARIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEGAN SKINNER (CO-OWNER)
(501) 358-6067
Entity
Organization
Contact information
Practice address
1022 MAIN ST, CONWAY, AR 72032-5426
(501) 800-6306
Mailing address
1022 MAIN ST, CONWAY, AR 72032-5426
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
08/24/2020
Last updated
10/19/2020
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