Organization
LIFEBRIDGE AR COUNSELING
Active
Parent organization
LIFEBRIDGE AR COUNSELING
Organization subpart
Yes
Provider details
NPI number
Legal business name
LIFEBRIDGE AR COUNSELING
Authorized official
ROSS KELLEY LPC (OWNER)
(479) 790-2483
Entity
Organization
Contact information
Practice address
301 EAST ASHLEY ST., SILOAM SPRINGS, AR 72761
(479) 790-2483
Mailing address
301 EAST ASHLEY ST., SILOAM SPRINGS, AR 72761
(479) 790-2483
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
P1402021
AR
Other
Enumeration date
02/20/2015
Last updated
02/20/2015
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