Organization
NWA THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHANTAL AIMEE CARTER LCSW, LADAC, CEDS (OWNER/THERAPIST)
(479) 790-2324
Entity
Organization
Contact information
Practice address
2592 N GREGG AVE, SUITE 10, FAYETTEVILLE, AR 72703-5520
(479) 790-2324
(888) 965-6911
Mailing address
2592 N GREGG AVE, SUITE 10, FAYETTEVILLE, AR 72703-5520
(479) 790-2324
(888) 965-6911
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2292-C
AR
Other
Enumeration date
02/07/2018
Last updated
01/28/2020
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