Organization
LEWALLEN & FELTY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LARRY LUCAS LEWALLEN LCSW (CEO)
(870) 926-5710
Entity
Organization
Contact information
Practice address
2210 W KINGSHIGHWAY STE 9, PARAGOULD, AR 72450-3987
(870) 926-5710
Mailing address
611 COUNTY ROAD 763, BROOKLAND, AR 72417-8951
(870) 926-5710
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
06/13/2017
Last updated
09/26/2017
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