Organization
TAYLER BRICKELL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAYLER BRICKELL (PRESIDENT)
(501) 420-4407
Entity
Organization
Contact information
Practice address
106 RIDGEWAY ST STE F, HOT SPRINGS, AR 71901-7157
(501) 420-4407
Mailing address
106 RIDGEWAY ST STE F, HOT SPRINGS, AR 71901-7157
(501) 420-4407
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
10/05/2021
Last updated
01/13/2026
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