Individual
BENJAMIN STANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
125 WELLNESS WAY, HOT SPRINGS, AR 71913-6478
(501) 624-7111
Mailing address
125 WELLNESS WAY, HOT SPRINGS, AR 71913-6478
(501) 624-7111
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A1709285
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
232124795
—
AR
Enumeration date
08/16/2013
Last updated
09/26/2022
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