Organization
SPA CITY COUNSELING AND WELLNESS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY NICOLE MALCOM-BUTLER APRN, PMHNP-BC (OWNER)
(870) 210-0230
Entity
Organization
Contact information
Practice address
135 SAWTOOTH OAK ST, HOT SPRINGS, AR 71901-7160
(501) 781-3122
Mailing address
135 SAWTOOTH OAK ST, HOT SPRINGS, AR 71901-7160
(870) 210-0230
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
07/09/2025
Last updated
08/05/2025
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