Organization
THE FORGING PLACE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICK KEETER (PART OWNER)
(479) 310-9096
Entity
Organization
Contact information
Practice address
1304 CHERRY STREET, VAN BUREN, AR 72956
(479) 310-9096
(479) 777-8510
Mailing address
1304 CHERRY STREET, VAN BUREN, AR 72956
(479) 310-9096
(479) 777-8510
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
09/17/2014
Last updated
02/14/2025
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