Organization
THERAPY ASSESSMENT CENTER LLC
Active
Parent organization
THERAPY ASSESSMENT CENTER LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
THERAPY ASSESSMENT CENTER LLC
Authorized official
SAMANTHA SEWELL SHORT PSYD (OWNER)
(501) 350-6785
Entity
Organization
Contact information
Practice address
317 OAK ST, CONWAY, AR 72032-4617
(501) 358-6396
Mailing address
317 OAK ST, CONWAY, AR 72032-4617
(501) 358-6396
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/15/2024
Last updated
08/15/2024
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