Organization
BLY THOMAS MENTAL HEALTH COUNSELING ORGANIZATION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH WAYNE ROBISON (PRESIDENT)
(479) 806-4540
Entity
Organization
Contact information
Practice address
1501 S WALDRON RD STE 102, FORT SMITH, AR 72903-2574
(479) 414-3320
Mailing address
1501 S WALDRON RD STE 102, FORT SMITH, AR 72903-2574
(479) 414-3320
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/22/2018
Last updated
10/22/2018
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