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Organization

WATERSPRINGS RANCH FAMILY COUNSELING

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL TYE WHATLEY (EXECUTIVE DIRECTOR)
(903) 306-8800
Entity
Organization

Contact information

Practice address
8010 SANDERSON LN, TEXARKANA, AR 71854-8267
(903) 306-8800
Mailing address
8010 SANDERSON LN, TEXARKANA, AR 71854-8267
(903) 306-8800

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YM0800X
Mental Health Counselor
101YP2500X
Professional Counselor
1041C0700X
Clinical Social Worker
Primary

Other

Enumeration date
05/14/2024
Last updated
05/14/2024
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