Organization
SYNCHRONICITY GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAM L WALLACE M.S. (PRESIDENT)
(479) 957-8546
Entity
Organization
Contact information
Practice address
4257 N GABEL DR, SUITE 3A, FAYETTEVILLE, AR 72703-5004
(479) 957-8546
Mailing address
3391 HAYWOOD CV, SPRINGDALE, AR 72764-7669
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
P0702007
AR
Other
Enumeration date
12/05/2011
Last updated
12/05/2011
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