Organization
PINK ELEPHANT THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CONNIE DELORA TAUTE LPC, AADC, LADAC (OWNER)
(870) 866-4653
Entity
Organization
Contact information
Practice address
203 W MAIN ST STE K, EL DORADO, AR 71730-5604
(870) 866-4653
Mailing address
203 W. MAIN ST., SUITE K, EL DORADO, AR 71730
(870) 866-4653
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/27/2021
Last updated
11/24/2021
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