Organization
LEAD, TEACH, MENTOR LLC
Active
Other names
Thriveworks Conway
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CURTISS HOWARD ROBINSON MA (CEO/OWNER)
(501) 404-9737
Entity
Organization
Contact information
Practice address
575 CLUB LN STE 103, CONWAY, AR 72034-3681
(501) 404-9737
Mailing address
575 CLUB LN STE 103, CONWAY, AR 72034-3681
(501) 404-9737
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
1215208392
AR
251S00000X
Community/Behavioral Health Agency
1283-C
AR
251S00000X
Community/Behavioral Health Agency
2533-M
AR
251S00000X
Community/Behavioral Health Agency
P0802024
AR
251S00000X
Community/Behavioral Health Agency
P0909056
AR
251S00000X
Community/Behavioral Health Agency
Primary
P1204052
AR
Other
Enumeration date
05/23/2014
Last updated
05/23/2014
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