Organization
SIMPLE SOUL COUNSELING SERVICES LLC
Active
Parent organization
SIMPLE SOUL COUNSELING SERVICES, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SIMPLE SOUL COUNSELING SERVICES, LLC
Authorized official
ACACIA LYNETTE JOHNSON ED.S. LPC (OWNER)
(870) 204-5640
Entity
Organization
Contact information
Practice address
351 E PRIDDY ST STE B, MAGAZINE, AR 72943-8503
(870) 204-5640
(870) 204-5306
Mailing address
303 W NEWMAN AVE, HARRISON, AR 72601-5839
(870) 204-5640
(870) 204-5306
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
11/01/2023
Last updated
11/07/2023
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