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Organization

LIVING DIFFERENTLY MENTAL HEALTH THERAPY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AMY MELISSA JOHNSON LCSW (THERAPIST)
(501) 358-0071
Entity
Organization

Contact information

Practice address
214 HIGHWAY 64 E, CONWAY, AR 72032-9410
(501) 358-0071
Mailing address
214 HIGHWAY 64 E, CONWAY, AR 72032-9410
(501) 358-0071

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
06/10/2026
Last updated
06/10/2026
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