Organization
BLUE SERENITY THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBIN MICHELLE JACKSON LCSW (OWNER)
(501) 944-4660
Entity
Organization
Contact information
Practice address
15 PAMELA LN, SHERWOOD, AR 72120-2645
(501) 944-4660
Mailing address
15 PAMELA LN, SHERWOOD, AR 72120-2645
(501) 944-4660
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/14/2025
Last updated
02/03/2025
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